Contact name * Required First Last Email address * Required Award name * Required Current number/value of award(s) * Required (ex. two awards valued at $500)Do you wish to continue your award(s) for the 2021-2022 academic year? * Required Yes No Number/value of award(s) for the coming academic year * Required (ex. three awards valued at $750)Do you wish to be invoiced for your annual contribution? * Required Yes No Please specify how you would like the invoice sent * Required Emailed Mailed Please list any revisions or important notes you would like to share surrounding your award below. * RequiredBy submitting my personal information through this form, I consent to allow Cambrian College to contact me using the details provided. I may revoke this consent at any time. Personal information on this form is collected in accordance with sections 21, 39, and 43 of the Freedom of Information and Protection of Privacy Act and under the legal authority of the Ministry of Training, Colleges and Universities Act, R.S.O. 1990, and the Ontario Colleges of Applied Arts and Technology Act, 2002. Regulations 34/03, and used for educational, administrative and statistical purposes of the College and/or ministries and agencies of the government of Ontario and the Government of Canada. Questions about the use of your personal information should be directed the Director of Development at Cambrian College.EmailThis field is for validation purposes and should be left unchanged.