Payment received by: _________________________________________________________________________________
Freedom of Information and Protection of Privacy Act, 1987. The information on this form is collected under the legal authority of the Colleges and Universities Act, R.S.O. 1980,
C.272, s5: R.R.O. 1980, Reg. 640. This information will be used for the purpose of making admission and registration decisions, for communicating additional information about
College-wide activities, and for administrative and statistical purposes of the Ontario Ministry of Education and Training: For further information, please contact the Office of the
Registrar.
Prior Learning Assessment Waiver
This signed waiver gives permission to the Assessor to contact employers, co-workers, or references
named in my portfolio, on my resume or below in order that the sources of my documentation can be
verified.
Name (please print):_____________________________________________
Sheridan Student ID number (if applicable):___________________________
As per Section 39(1) of the Freedom of Information and Protection of Individual Privacy Act (FIPPA),
I,___________________________________________, authorize Sheridan to contact the persons or organizations
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