OPIRG Brock online OPT-IN form
Hello and thank you for your interest in becoming a member of OPIRG Brock!

If you are looking to OPT-IN to OPIRG Brock and become a member, please fill out the first section of this form. Following the completion of this form, your membership will be sent to our Board of Directors, and you will be contacted to pay the membership fee. By holding an OPIRG Brock membership, you are able to run or apply for the OPIRG Brock Board of Directors and vote in the Annual General Meeting on April .

To maintain a membership-in-good-standing, you must agree to and uphold the OPIRG Brock Safer Space Policy. (https://docs.wixstatic.com/ugd/8b3aa0_83515e64377e460a95e8f159089ffc02.pdf), as well as other relevant OPIRG Brock policies.

Upon membership approval and paying this fee will result in a membership to OPIRG Brock until April 30, 2020. The membership fee is currently $7.50 - $10, sliding scale. If paying the membership fee creates a financial barrier for you from being a member of OPIRG Brock, please email info@opirgbrock.com.

In the meantime, if you have any questions about online OPT-IN's or OPIRG in general, please feel free to email info@opirgbrock.com.

To be completed by applicant:
Contact Information
Name *
Your answer
Your answer
BrockU Student or Community Member? (Students of other schools are also currently considered Community Members) *
Email *
Your answer
Mailing Address *
Your answer
Phone number (not required)
Your answer
Background experience with OPIRG Brock, BrockU, or any other cultural or organizing communities throughout Niagara.
Your answer
Membership Agreement
Please check one box
By signing below, I indicate that to my knowledge I am in good standing with OPIRG Brock and wish to join its membership. I understand that my application may be rejected or my membership may be revoked at any time if my actions conflict with the mandate, Safe Space Policy or any other policies of OPIRG Brock, jeopardize the reputation or future of OPIRG Brock, or otherwise causes harm to the community. At this time my membership fee would be refunded in person or by mail to the address provided. NOTE: Any person who is a member of another Chapter of the Ontario Research group is not eligible for membership in the Brock chapter. *
Type of Membership
Valid until December 31, 2019. At this time you will be contacted about updating your membership. The only requirement for this section is that you choose at least one of the Individual Membership Options (all other choices are optional).
Check all that apply.
Total Fees (Sum of memberships selected above
Your answer
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