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The personal information requested on this form is collected under the authority of Section 33 (.) of the Alberta Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act.  It will be used for the purpose of providing information about Augustana Campus to prospective students.  Direct any questions about this collection to: Tim Hanson, Assistant Dean of External Relations, Augustana Campus, University of Alberta, 4901-46 Avenue, Camrose, Alberta, Canada T4V 2R3   780.679.1100