Personal Information Title - Aucun -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 Mois MoisJanFévMarAvrMaiJuinJuiAoûtSepOctNovDéc Jour Jour12345678910111213141516171819202122232425262728293031 Année Année190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Former Home Address (Number/P.O. Box, Street, Apartment, City, Province/Territory/State, Country, Postal/ZIP code) Year of Graduation Mois MoisJanFévMarAvrMaiJuinJuiAoûtSepOctNovDéc Jour Jour12345678910111213141516171819202122232425262728293031 Année 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 Mois MoisJanFévMarAvrMaiJuinJuiAoûtSepOctNovDéc Jour Jour12345678910111213141516171819202122232425262728293031 Année Année190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026 Name of Faculty Year of Graduation Mois MoisJanFévMarAvrMaiJuinJuiAoûtSepOctNovDéc Jour Jour12345678910111213141516171819202122232425262728293031 Année 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 CAPTCHACette question permet de s'assurer que vous êtes utilisateur humain et non un logiciel automatisé de pollupostage. Math question * 2 + 1 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
