I hereby declare that the above information is true and complete to the best of my knowledge. I understand that a false statement may disqualify me from further consideration for the program or result in dismissal.
Authorization for collection of personal information:
I authorize the International Centre to collect personal information appropriate to the English Tutor Program.
I understand that the information obtained will be confidential but will be shared with persons volunteering to assist me.
Form of Consent:
The information you provide will be used to deliver services. In addition, name, address, and email information will be used to keep you up to date on the activities of the International Centre, services, special events, and opportunities through periodic notices. If you do not want to receive these notices, please contact us at 403-329-2053 or email@example.com.