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Autorisation de divulation des renseignements personnelsEpiderma collects and uses your personal information and shares it with the selection committee
responsible for choosing scholarship recipients. The selection committee and Epiderma
will not release an applicant’s personal information without prior written consent. I, hereby
authorize Epiderma to collect and use my personal information, and to share it with the selection committee
for the purpose of choosing scholarship recipients. I understand that I may revoke my consent at
any time by submitting a request in writing to Epiderma, in which case I will no longer be eligible to receive
an Epiderma scholarship. To promote the scholarship program and your participation in the program,
Epiderma also requests your permission to publish on its website, in its e-newsletters, and in other related
media your name and the names of your school, city, and province of residence, as well as your photo.
Furthermore, Epiderma collects and uses your personal information to keep you informed about its job
openings, services, and products, either by e-newsletter, mail, telephone, fax, or email. I understand that I
may revoke my consent at any time by submitting my request in writing to Epiderma..Successful candidates will be required to provide proof of enrolment in an aesthetics program in one of
the schools accredited by the Québec or Ontario Ministry of Education in order to receive their award.