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Canadian space ambassadors - Registration form

Information about the speaker

Information about the organization

Information about the type of conferences

Possible conference topics (select all that apply) (required)
Languages (select all that apply) (required)
Type of conferences i'm willing to speak at (select all that apply) (required)

Privacy notice statement

Your personal information is collected by the Canadian Space Agency (CSA) in accordance with the Privacy Act and is described in the standard Personal Information Bank, Public Communications (PSU 914) (opens new window). The information will be used to evaluate your request to be listed as a Canadian Space Ambassador and if your registration is accepted, your information will be published on the CSA website. Your personal information will be protected in accordance with the Privacy Act. If you have any questions or concerns related to the handling of your personal information, please contact:

Office of Access to Information and Privacy
Canadian Space Agency
Tel.: 514-378-6174

Under the Privacy Act, you have the right to access your personal information and, where required, to request correction of personal information if you believe there is an error or omission therein. In addition, if you feel that your personal information is being handled inappropriately, you have the right to file a complaint to the Office of the Privacy Commissioner by calling 1-800-282-1376 or visiting their contact page.

Before submitting your registration request, please carefully read the applicable terms and conditions. If, after verification of your profile, your application is accepted for inclusion on the list of Canadian Space Ambassadors, you will be asked to agree to these terms and conditions.

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