Protection of Privacy - The personal information requested on this form is collected under the authority of
Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act (“Act”) and will be protected
under Part 2 of the Act. The information is collected for the purpose of identifying practicum and internship
placements for students. If you have any inquiries in regards to the collection of your personal information,
please direct those inquiries to: FOIP Coordinator, University of Lethbridge, 4401 University Dr. West,
Lethbridge, Alberta T1K 3M4, telephone: 403-332-4620, email: foip@uleth.ca.