Personal information provided in this application will not be disclosed to any person(s) outside of the Student
Development Centre, Indigenous Services, or your Faculty at Western University, without your written consent. The
information that you provide in this application is confidential, with the following exceptions:
We are required by law to report to the appropriate authorities any suspicions that a child (i.e. a person who is
under the age of 16) has been or is being abused.
If you are in serious and imminent danger of hurting yourself or another person, we may need to reveal
enough information to an appropriate third party to help you.
If you are involved in a legal proceeding, the court may subpoena our records. This is a rare occurrence, but
you should be aware of the possibility.
There may be other unique situations where there are exceptions to confidentiality. However, these confidentiality
exceptions will be fully outlined and disclosed to you by your counsellor when relevant.
Information about your faculty, year of study, citizenship, area of concern, and any referral source will be kept in your file.
This data will also be used as part of an aggregate database in order to provide information about the client population
served by the Student Development Centre. There will be no identifying information in the aggregate reports that are