Alumni Form

First Name*

Last Name*

Preferred Email*

Enter Email Confirm Email

Student Number

What year did you graduate from the BPAPM program?

Present Employment or Academic Pursuits

University Privacy Notice*

I consent to the uses and disclosures identified

Personal information collected through this form will be used and disclosed by Carleton University under the authority of the Carleton University Act, and in accordance with sections 39, 41 and 42 of Ontario’s Freedom of Information and Protection of Privacy Act. The purpose of this processing is for advancement activities and alumni development purposes. If you have any questions about the processing of personal information by Carleton University, please contact the Manager, Privacy & Access to Information, by phone at 613-520-2600 ext. 2047 or by e-mail via University_Privacy_Office@carleton.ca. You may also visit carleton.ca/privacy for additional information and notices.

Contact Consent

I consent to contact from the BPAPM program

Our program would like to reach out to you from time to time to update you on any big news from the program or perhaps get an update on your biography. Please check the above box if you consent.

Alumni Profile

If you are interested in being profiled on our website please follow the steps below.

Profile Consent

I consent to being profiled on the BPAPM website

We have some incredible alumni and we like to show then off by profiling them on our website. Are you interested in being profiled on our website? If so, please consent above. If not, that's okay too, just skip ahead to the next section.

If you would like to be profiled on our website, please post a short biography here.

This should include information about any other degrees you have obtained as well as information about your employment history and your current employment or educational pursuits.

Program Endorsement

If you have a brief endorsement of the BPAPM program that you would be willing to add to your profile please add it here.

Photo Consent*

I consent to the use of my photo for the website.
Please don't use my photo

Please add a high-resolution head shot for your alumni profile.

Accepted file types: jpg, jpeg, png, gif.

Social Media

We would love to connect with you on social media so we can keep up with you. If you would like to share your social media handles below please do so. This information will not be shared.

Twitter

Do you have any other other questions, concerns or comments? If so, please add them below.

Thank you!

Thank you for taking the time to fill in this form. We look forward to learning more about you and where your BPAPM degree has taken you.

BPAPM Alumni Form

Alumni Profile

Social Media

Thank you!