First Name*
 
 
 
 
Last Name*
 
 
 
 
Email*
 
 
 
 
Program (Optional)
 
 
 
 
I am a...*
 
 
 
 
Dietary Restrictions
 
 
 
 
Do you have any accessibility needs that may require accommodations to participate in the event
 
 
 
 
 
 
 
 
Kwantlen Polytechnic University (“KPU”) collects your Personal Information in accordance with section 26 of the Freedom of Information and Protection of Privacy Act (“FIPPA”), R.S.B.C. 1996, c.165 for the purposes of registering and administering your participation in this STEM Panel talk. If you have any questions about the processing of your Personal Information, please contact Triona King at triona.king@kpu.ca.