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Personal Information
Home Email * 
First Name * 
Last Name * 
Academic Information
First Name as Student
Last Name as Student
Degree Year (i.e. 1982)
Home Information
Address 1
Address 2
Zip/Postal Code Postal Code *          US/Canada Address
Province/State * 
County/Country * 
Home Phone
Business Information
Organization Name
Occupation Title
City * 
Business Email
Other Information
Preferred Address Home Business
Protection of Privacy
In accordance with Section 39(2) of the Freedom of Information and Protection of Privacy Act, 1990, the information on this form is collected under the authority of the Ryerson University Act, 1977. The information will be used in connection with Ryerson University ("Ryerson") Advancement initiatives directed at alumni, parents of former students, staff and faculty supporters for the purposes of providing you with information about programs, services, offers, surveys, events, and communications from Alumni Relations, Marketing & Communications, Development and Academic programs or faculties, to provide receipts for donations, for fundraising purposes, as well as the collection of statistics. We do not sell or otherwise publicly disclose your personal information, nor will we share it directly with any of our corporate affinity partners. Ryerson uses mailing houses or other third-party agencies who are bound by confidentiality agreements to contact you on behalf of the affinity partner. At no time do the affinity partners have direct access to your contact information unless you agree. At any time you have the right to request that your personal information cease to be used for our University Advancement initiatives or for fundraising purposes. If you have questions about the collection, use and disclosure of this information by the University please contact the Office of the Assistant Vice President, Alumni Relations, Ryerson University, 350 Victoria Street, Toronto, ON, M5B 2K3, ph: 416-979-5000 ext. 7915.