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Privacy Notification: Your personal information is collected under the authority of section 26(c)  of the Freedom of Information and Protection of Privacy Act (FIPPA). This information will be used to support dietary and accessibility requirements at the LangSci Talk featuring Dr. Samuel Tilsen on Thursday, April 10, 2025. Questions about the collection of this information may be directed to Language Sciences by email (language.sciences@ubc.ca) or by phone (604-822-7435). 

Only questions marked with an asterisk (*) are required.
Full Name
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Email (used for talk updates and reminders)
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Do you plan to attend the LangSci Book Talk- Dr. Samuel Tilsen?
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If attending in person, do you have any dietary restrictions or preferences?
Do you require any accessibility support?
Are you at UBC or elsewhere?
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Are you faculty, a student, a posdoctoral fellow, or staff? 
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What department are you in? (N/A if visiting)
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How did you hear about this event?
Photo Consent 

I hereby give The University of British Columbia (“UBC”) permission to use images of me (including any motion picture or still photographs made by UBC of my likeness, poses, acts and appearances or the sound records made by UBC of my voice) ("Images") for any purposes in connection with promoting UBC and its activities (the “Purposes”), which may include advertising, promotion and marketing. UBC may crop, alter or modify Images of me and combine such Images with other images, text, audio recordings and graphics without notifying me.

I understand that my personal information, including Images of me, is being collected pursuant to section 26 of the Freedom of Information and Protection of Privacy Act, R.S.B.C. 1996, c. 165, for the Purposes. I consent to my name and any other information provided by me to UBC being displayed in connection with the appearance of my Image. I consent to any of my personal Information, including Images of me, being stored, accessed or disclosed outside of Canada. Any questions about the videotaping, photographing and audiotaping should be directed to:

UBC Language Sciences Institute
Adriana Osa Gomez del Campo, Research, Engagement, and Operations Manager 
adriana.osa-gomez@ubc.ca
604-822-7435

Shoot Date: April 10, 2025 
Shoot Location: 301 Peña room, Irving K. Barber, UBC Point Grey 
 
 
Required