Office of the Registrar

AA211, Heritage Hall

1301 - 16 Avenue NW
Calgary, AB T2M 0L4
Phone: 403.284.7248

Information Waiver Toll-free: 1.877.284.7248

Fax: 403.284.7112
Policy Reference: AD.1.1.2 Email: [email protected]

Please complete sections A to D.

A) Personal Information
Student ID Number

Last Name First Name Middle Name

Address City Province

Preferred Number Home Alternate Number Home Postal Code

Cellular Cellular
Business Business

Email Address

B) Designated Person(s)
Relationship Name
Agent ApplyBoard Inc.
Relationship Name

Relationship Name

C) Releasable Information and Time-frame

Please allow the above listed designated person(s) access to the following information between the dates listed below. (Select all that are applicable)
Grades Application Status Registration Information Account Balance
Other (please specify)

Date from (dd/mm/yyyy) Date to (dd/mm/yyyy)

D) Student Acknowledgement
I hereby give permission for SAIT to disclose personal information pertinent to my application and studies at SAIT to my parent/guardian/sponsor/other person.
Signature Date

FOIP Statement
The personal information provided on this form is collected under the authority of the Freedom of Information and Protection of Privacy Act of the Province of Alberta, Section 33(c). The
purpose of this personal information is to respond to your request for release of your personal information. Your personal information is protected by Alberta’s Freedom of Information and
Protection of Privacy Act and can be reviewed on request. If you have any questions about the collection or use of this information, contact the FOIP Coordinator at 403.284.8748.

Records updated by Date

AUG2020