ACSAS CONSENT FORM - Algonquin College

ACSAS CONSENT FORM – Please ReadAlgonquin College Student Advising SystemPlease read the following information, sign on the reverse side, and return to your advisor.ACSAS has been developed so that advisors can make notes about advising sessions and organizereferrals and appointments. The information helps the advisor remember what you have discussed ina general way, and it is not shared outside the advising team for your level of your program.In your program, advisors work as a team which may include other faculty advisors, the programcoordinator and the Student Success Specialist for your Faculty or School. Information about youracademic progress may be shared among some members of the team. This information is shared toensure you receive the most accurate, up‐to‐date and relevant advice and support.Information of a personal nature is not shared; in cases where your personal situation is interferingwith your ability to succeed in your program, you will be referred to a qualified, professionalcounsellor in Student Services and details about personal issues will not be recorded on the system.You can request to look at the notes an advisor makes as part of an advising session.OVERACSAS CONSENT FORM – Please ReadAlgonquin College Student Advising SystemPlease read the following information, sign on the reverse side, and return to your advisor.ACSAS has been developed so that advisors can make notes about advising sessions and organizereferrals and appointments. The information helps the advisor remember what you have discussed ina general way, and it is not shared outside the advising team for your level of your program.In your program, advisors work as a team which may include other faculty advisors, the programcoordinator and the Student Success Specialist for your Faculty or School. Information about youracademic progress may be shared among some members of the team. This information is shared toensure you receive the most accurate, up‐to‐date and relevant advice and support.Information of a personal nature is not shared; in cases where your personal situation is interferingwith your ability to succeed in your program, you will be referred to a qualified, professionalcounsellor in Student Services and details about personal issues will not be recorded on the system.You can request to look at the notes an advisor makes as part of an advising session.OVER

ACSAS CONSENT FORM – Please SignStudent SignatureStudent Name and NumberI give my consent for my advisor to use the Student Advising SystemI do not give my consent for my advisor to use the Student Advising SystemPlease note that regardless of whether your advisor is using ACSAS or not, if you divulge information that suggeststhat you are a clear or imminent danger to yourself or others, or if you share information that suggests that theintegrity of your program is at risk, then your advisor is obliged to pass that information on to a responsible personat the College.ACSAS CONSENT FORM – Please SignStudent SignatureStudent Name and NumberI give my consent for my advisor to use the Student Advising SystemI do not give my consent for my advisor to use the Student Advising SystemPlease note that regardless of whether your advisor is using ACSAS or not, if you divulge information that suggeststhat you are a clear or imminent danger to yourself or others, or if you share information that suggests that theintegrity of your program is at risk, then your advisor is obliged to pass that information on to a responsible personat the College.