First Name*
 
 
 
 
Last Name*
 
 
 
 
Email*
 
 
 
 
Pronouns*
 
 
 
 
Affiliation (KPU Staff, Other Post-Secondary, Government, etc.)*
 
 
 
 
Dietary Restrictions*
 
 
 
 
Accessibility Requirements*
 
 
 
 
 
 
 
 
Kwantlen Polytechnic University (“KPU”) collects your Personal Information in accordance with section 26 of the Freedom of Information and Protection of Privacy Act (“FIPPA”), R.S.B.C. 1996, c.165 for the purposes of registering and administering your participation in the President’s Dialogue Series Event. If you have any questions about the processing of your Personal Information, please contact Sharlene Wilson at Sharlene.wilson1@kpu.ca.
 
 
 
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