The personal information collected through this form is collected under the authority
of Section 4(c) of the Alberta Protection of Privacy Act (POPA), for the purpose of determining eligibility for
programs and services; to monitor, assess and evaluate the effectiveness of services provided and to evaluate
the results of provincial programs. The personal information collected herein may be disclosed pursuant to
section 40 of the Freedom of Information and Protection of Privacy (FOIP) Act. The information may be used in an
automated system to generate content. Should you have any questions or concerns regarding the collection, use or
disclosure of your personal information please contact the Recreation & Social Program Team Lead at 403.268.2490
or mail at P.O. Box 2100, Station M, Internal Mail Code #120, Calgary, AB, T2P 2M5.
1. I hereby understand that my personal information may be disclosed to an authorized
employee, agent or contractor of the Government of Alberta, Community & Social Services, City of Calgary, or
Calgary Neighbourhoods to assist in determining my eligibility for programs and services; to monitor, assess and
evaluate the effectiveness of services provided and to evaluate the results of provincial programs.
2. Further release of information will be discussed between myself and my Career and
Employment Counsellor, when deemed necessary.
