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WIIS-Canada: Chapter Registration Form
In order to become a certified Chapter of WIIS-Canada, this form must be completed and confirmed by WIIS-Canada.
Will your Chapter be a University / College or Community group? *
What is the name of your Chapter? *
Your answer
Who is the primary point of contact for this Chapter? Please include name and email address. *
Your answer
Please list 4 to 6 interested and committed individuals who will be involved in founding the Chapter. Please include names and email addresses. *
Your answer
If you are a University or College group, please indicate if you have support from a faculty or staff member. Please include names and email addresses.
Your answer
All Chapter members must pay the $25 WIIS-Canada Membership Fee. This fee can be paid directly through the WIIS-Canada website. Please indicate if all founding Chapter members have paid this fee. (If we confirm the establishment of your Chapter, WIIS-Canada will reimburse $10 to the Chapter for every person who registers as a member through you. We will provide more details about this if your Chapter is approved.) *
Do you already have a preliminary executive committee (i.e. President, Treasurer, etc.)? If so, please list names and positions below.
Your answer
Have you or any of your group members attended a WIIS-Canada workshop or event before?
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