Student Status Living OFF campus -- Commuter Student Living ON campus -- Residence Student Student Information First Name Last Name Student ID Cell Phone # Email Address Campus Parking Academic Year Parking Pass - $450 + GST Residence Parking Academic Year Parking Pass -- $420 Do you need accessibility parking? Yes No Reason for accessibility parking Vehicle and Contact Information Make Model Color License Plate # Province Will You Drive an Alternate Vehicle Yes No Please enter alternate vehicle information: Alternate Vehicle Make Alternate Vehicle Model Alternate Vehicle Colour Alternate Vehicle License Plate # Alternate Vehicle Province See additional parking options Please read our Parking Policies Initial below to indicate that you have read and understood these policies. Initial Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 Ambrose University is committed to safeguarding the personal information entrusted to us. We manage your personal information in accordance with Alberta’s Personal Information Protection Act and other applicable laws. Information collected in this form may be used to contact you regarding programs and services. It will form part of your record as an applicant, student, and alumnus and may be disclosed to academic and administrative units. All information is considered confidential and will be used and disclosed in accordance with privacy legislation. For more information regarding the collection or use of this information, please contact the Privacy Compliance Officer (403-410-2000 or e-mail email@example.com).