Bloorview Research Institute and Holland Bloorview Kids Rehabilitation Hospital respect your privacy. The information on this form is collected by Bloorview Research Institute and Holland Bloorview Kids Rehabilitation Hospital, and is protected by Ontario’s Freedom of Information and Protection of Privacy Act. The purpose of this privacy statement is to inform you how we will use your information. We will use this information for purposes related to the administration of this award; for example it will be used to determine the qualifications for the awards and to report to Bloorview Research Institute, Holland Bloorview Foundation, their donors. This information will not be shared with other organizations, except to verify the information you provide.

It is our practice to publicize award winners, and we consider the following information about current and former recipients to be publicly available and will provide it to third parties upon request: student’s full name; Faculty(ies)/Schools in which student is/was enrolled, with major field of study; awards given and date(s) conferred; and academic or other University honors or distinctions. At any time an individual may request that this information cease to be made publicly available by contacting the Privacy Officer in writing and the award will be reported as being given to “Undisclosed Recipient”.

If you have questions, please refer to contact the Privacy Officer at Holland Bloorview Kids Rehabilitation Hospital at 416-425-6220, ext. 3467, 150 Kilgour Road, Toronto, ON, M4G 1R8.

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