Lawrence S. Bloomberg Faculty of Nursing

2018/2019 Student Awards – Document Upload Form

Form
Instructions
Personal Information
Data Collected
  •  

  • Congratulations on your student award! You’ve worked hard to achieve your goals throughout your academic journey here at the Lawrence S. Bloomberg, Faculty of Nursing. Your donor is excited to learn more about you − your interests and how their support impacts you as a student. Please show your appreciation for your donor’s support by submitting the following documents and filling out the form below:

    • Head Shot
    • Biography
    • Thank you Note(s)

    The information you share will be formatted into a report and sent to your donor as a small token of appreciation. The information you provide to us in your documents helps nurture strong relationships between award recipients and donors, encouraging ongoing support for other students like you at the Lawrence S. Bloomberg, Faculty of Nursing.


    NOTE:  Please make sure the file names of your documents do not contain any special characters such as apostrophes (for example Jane’s Bio).  For security reasons, files named as such will generate an error message. Click on the Form tab to begin

  • PERSONAL INFORMATION

    The University of Toronto respects your privacy. The information on this form is collected pursuant to section 2(14) of the University of Toronto Act, 1971. It is collected for the purpose of administering admission, registration, academic programs, university-related student activities, activities of student societies, financial assistance and awards, graduation and university advancement, and for the purpose of statistical reporting to government agencies. Your IP address and browser version is collected for the purpose of Information Technology troubleshooting, as may be required. At all times, all data is protected in accordance with the Freedom of Information and Protection of Privacy Act. If you have questions, please refer to www.utoronto.ca/privacy OR contact the University’s Freedom of Information and Protection of Privacy Office at 416 946-5835, Room 104, McMurrich Bldg., 12 Queen’s Park Crescent West, Toronto, ON, M5S 1A8

    PERSONAL INFORMATION STATEMENT CONSENT

    I agree to have the information in this form plus my IP address and browser version be collected and stored electronically and I understand it will be protected in accordance with the Freedom of Information and Protection of Privacy Act. I understand that the information will be shared and viewed only by those who need to know. I also understand this form will be retained based on the University’s best practice guidelines for student records retention, after which it will be destroyed in accordance with Information Technology Security best practices.  

  • The following data is collected on this form:

    First Name

    Last Name

    Email Address

    Year of Study (Selection list)

    Degree of Study (Selection list)

    When do you expect to graduate?

    Upload a head shot photo of yourself

    Upload your biography

    AWARDS & THANK YOU NOTES

    Name of 1st award received

    Upload a Thank You note for the 1st award

    If applicable, name of 2nd award received and upload a Thank You note for the 2nd award

    If applicable, name of 3rd award received and upload a Thank You note for the 3rd award

    If applicable, name of 4th award received and upload a Thank You note for the 4th award

    PERMISSIONS

    Are you willing to participate in donor interactions (in the case we plan an event to bring you, the recipient of the award together with the donor)? (Selection: Yes or No)

    Do we have permission to feature your story on social media or in printed material? (Selection: Yes or No)


    Other Data Collected This data is automatically collected by the system for the purpose of Information Technology administration and trouble shooting, as may be required.

    Date and time of survey submission

    IP address (does not identify you)

    Browser type and version number

Site Directory