Personal Information Title - None -Ms.Mrs.Mr.Dr.ProfessorMx. First Name * Last Name * Middle Name Email Address * Alternate Email Address Preferred Language of Correspondance (required) Preferred language of correspondance * English French Help Us Identify You (required) Your relationship with uOttawa * Student number I don’t remember my student number Student number * Additional information to help us identify you Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Former Home Address (Number/P.O. Box, Street, Apartment, City, Province/Territory/State, Country, Postal/ZIP code) Year of Graduation Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Degree Faculty Home Address Address (Number/P.O. Box, Street, Apartment, City, Province/Territory/State, Country, Postal/ZIP code) Home Phone Mobile Phone Employment Information I am retired I am retired Organization Name Position Address (Number/P.O. Box, Street, Apartment, City, Province/Territory/State, Country, Postal/ZIP code) Work Phone I prefer to receive mail from uOttawa at work. I prefer to receive mail from uOttawa at work. Family Information Name of spouse (if applicable) Is your spouse a graduate of the University of Ottawa? Yes No Student Number I don’t know my spouse’s student number I don’t know my spouse’s student number. Help us identify your spouse Date of Birth Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Name of Faculty Year of Graduation Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Social Media Social media options LinkedIn Instagram Twitter WeChat Facebook LinkedIn Profile (optional) Instagram Profile (optional) Twitter Profile (optional) WeChat Profile (optional) Facebook Profile (optional) Comments Notice of collection of personal information Personal information contained on this form is collected under the authority of the 1965 University of Ottawa Act and in accordance with the Freedom of Information and Protection of Privacy Act. It will be used for purposes consistent with updating your personal information and providing you with information about alumni programs, events, activities, products and services provided by the University and affinity partners, news, fundraising campaigns, and donation and volunteering opportunities. If you have questions about the collection, use and disclosure of your personal information in this notice,contact the Alumni Relations Office at 613-562-5857 or 1-800-465-1888, or email alumni@uOttawa.ca. If for any reason, you are unable to complete the form you can update your profile by email: er-records@uottawa.ca or by telephone: 613-562-5800 ext. 2234 or toll-free at 1-800-465-1888 ext. 2234 CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question * 4 + 13 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
