Consent to Publish Information (94)

RE: Students published in August 2026 edition of TESL Ontario Contact Magazine.

Instructions:

Please read Parts A and B. If you consent, please complete Part C and click submit.

Part A:

To be completed by the faculty/staff member or academic/administrative unit:

Mike Barker

(Name of faculty/staff member)

from the

SLALS

(Academic/Administrative unit)

is requesting your consent to publish your name, photograph, biography, scholarship award details, and/or other information as described below:

Description of what is to be published(Required)

Four SLALS students had articles published in the August 2026 edition of "TESL Ontario Contact Magazine." The School now wishes to announce this publication on our website and other means including each student's name, photo (if provided), degree program, and planned year of graduation.

This information will be published for the purposes of promotion, publicity, and/or other purposes as described below:

Purpose of Publication(Required)

The intention is to share this information more widely so the public can see the kinds of research and writing students in our programs undertake.

This information will be published on websites, materials, and/or in other areas as described below:

Means of Publication(Required)

Inclusive of, but not limited to (1) social media (e.g. Instagram and Facebook), (2) School website, and (3) print (i.e. promotional materials).

Part B:

To be completed by the faculty/staff member or academic/administrative unit:

The personal information requested on this form is collected under the authority of the Carleton University Act in accordance with Section 38(2) and 42(1) of the Freedom of Information and Protection of Privacy Act (FIPPA). The information provided will not be used for any purposes other than those stated upon this form unless the individual consents otherwise. Carleton University is fully compliant with FIPPA and endeavours at all times to treat your personal information in accordance with this law.

Should you have any questions concerning your personal information, please contact:

James Gamble

(University Legal Services)

University Legal Services

(Academic/Administrative unit)

613-520-2600 ext.2047

(Telephone)

privacy.office@carleton.ca

(E-Mail)

Part C:

To be completed by the individual:

I understand that my personal information and image may be published in hard copy or online and I hereby provide explicit consent to publish the information detailed in Part A of this form.

This information will be retained and disposed of in accordance with approved records retention and disposal schedules of the University.

Consent tick box(Required)

I consent

I do not consent

You must choose “I consent” if you wish to allow us to post your personal information as outlined above.

Name(Required)

First Last

Electronic Signature(Required)

Date(Required)

Profile photo

If you are comfortable doing so, we encourage you to upload a photo here that we can post online alongside the story.

Drop files here or

Max. file size: 15 MB.

FIPPA

Got questions about the collection and use of information on this form?

Yes

Please direct any questions about completing this form or this issue to the:

Manager, Privacy & Access to Information

Telephone: (613) 520-2600 Ext. 2047
E-Mail: University_Privacy_Office@carleton.ca

OR the FIPPA Representative in your academic/administrative unit.

By clicking ‘Submit’, I acknowledge that I have read and understood Carleton University’s privacy policies.

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