I hereby declare that the information on this application and the attached forms are, to the best of my knowledge, correct and complete. If I am the successful recipient of this award, Kwantlen Polytechnic University and/or the donor or donor's agent may publish my photograph and name for promotional purposes. In confirming this application for an award, I understand that this information, along with subsequent information placed in my student records will be used for the purposes of determining eligibility for the Culture, Community, and Well-Being Award and other purposes consistent with the mandate of the institution. The use of this information will be protected and used in compliance with the Freedom of Information and Protection of Privacy Act (FOIPOP). I understand that my confirmation certifies and verifies all information on all documents I have submitted as part of this application.