VIERA Department Information Form

Department Contact

Please note – this contact will be the only person in the Department authorized to have administrative access to all student information and status within the program’s online page. Further this will be the individual with whom the certificate program’s administrative staff will connect for information, questions and concerns related to the certificate program as it relates to your department’s members.

I declare that I will maintain confidentiality of all student information. In addition, I confirm that, as the “authority having jurisdiction”, my department maintains responsibility for the health and safety of all members participating in a certificate program.

Consent to the above statement

Program requested (Check all the programs that your members will be using)

 

 

Collection and use of your personal information

Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Protection of Privacy Act (FOIPPA) and is protected in accordance with FOIPPA. Personal information will only be used by authorized staff to fulfill the purpose for which it was originally collected, or for a use consistent with that purpose. Questions about the collection of your personal information may be referred to the Legislative Services Department at 250-755-4405, or via email at foi@nanaimo.ca. Please also see our Privacy Policy.

Last updated: April 4, 2025


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Collection and use of your personal information

Information collected on this form is done so under the general authority of the Community Charter and Freedom of Information and Protection of Privacy Act (FOIPPA) and is protected in accordance with FOIPPA. Personal information will only be used by authorized staff to fulfill the purpose for which it was originally collected, or for a use consistent with that purpose. Questions about the collection of your personal information may be referred to the Legislative Services Department at 250-755-4405, or via email at foi@nanaimo.ca. Please also see our Privacy Policy.