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If the answer is "yes" only the department contact will receive the form submission.
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I have informed my Emergency Contact(s) about their designation and I authorize York University to contact the person(s) I have appointed as my Emergency Contact(s) for or with information about me in case of emergency.
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This number includes adults and children
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Please note the maximum occupancy for suites as indicated.
Studio/Bachelor: 1
One Bedroom: 2
Two Bedroom: 3 adults or 2 adults and 2 children
This number includes adults and children. Due to fire regulations, this number cannot be changed.
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Please note the maximum occupancy for suites as indicated.
Studio/Bachelor: 1
One Bedroom: 2
Two Bedroom: 3 adults or 2 adults and 2 children
This number includes adults and children. Due to fire regulations, this number cannot be changed.
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Terms and Conditions *
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Personal information in connection with this form is collected under the authority of The York University Act, 1965 and will be used for the administration of residence services including housing assignment, and for other related or consistent purposes. Relevant information about physical disabilities and health issues, as well as emergency contact information, will be shared with residence staff for emergency management purposes. If you have any questions about the collection, use and disclosure of personal information by York University, please contact: Information and Privacy Coordinator, York University, Ross N945, 4700 Keele Street, Toronto, ON M3J 1P3, tel. 416-736-2100 Ext. 20359, email: info.privacy@yorku.ca.
Pursuant to Freedom of Information and Protection of Privacy Act, I give my consent to York University to use and disclose my personal information as noted above.
I have informed my Emergency Contact(s) about their designation and I authorize York University to contact the person(s) I have appointed as my Emergency Contact(s) for or with information about me in case of emergency.
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