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This authorization will be in effect until  FORMTEXT       Signed By Signature of Authorizing Person NOTE: You may be revoke this authorization at any time by indicating, in writing, to the Information and Privacy Office at the address below. Protection of Privacy The personal information requested on this form is collected under the authority of Section 33(c) of the ϲ Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act. It will be used for the purpose of managing and processing access requests and releasing records as authorized by the FOIP ActBDFJPRfhjtvx|~ȵ{mȵW{ȵ*jbh K L M N O ] ^ _ ` x ׳o_Go8h K L M - . }uuuuusllll h 1$kd$$Ifl4r4&' 4 laf4 . / 0 > ? @ A   뷩ۑ뷩taS=a*jh ȼppbT>**CJOJQJmH sH h*CJOJQJ^JaJ#hy]hy]5CJOJQJ^JaJhy]CJOJQJ^JaJ hy]hy]CJOJQJ^JaJh!CJOJQJ^JaJ'RSe0000U1V1e1f1h1i1k1l1n1o1q1r1 <1$] `'gdy]Ckd $$Ifla'' tT644 laytX <$Ifgd!gdy]. Questions concerning the collection, use and disposal of this information should be directed to: Intake Specialist, 2-28 University Terrace, 8303 112 Street NW, Edmonton, AB, T6G 1K4, 780-492-9419. This information will be retained and disposed in accordance with approved records retention and disposal schedules of the university. 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