Registration - Justice Generation
Please fill out this form by January 15th, 2016, in order to register for the weekend of January 29-31, 2016.
First name *
Your answer
Last name *
Your answer
Age *
Your answer
Gender *
Your answer
Home address *
(include postal code)
Your answer
Telephone (home)
Please give either your home number or cell (or both)
Your answer
Telephone (mobile)
Please give either your home number or cell (or both)
Your answer
Email *
Your answer
University *
Your answer
Program and year of study *
Your answer
Allergies and/or food specifications (e.g. vegetarian, vegan, gluten-free...) *
Your answer
Are you a member of your campus ministry/chaplaincy community at your University? *
If yes, please describe your involvement in that community. If not, what is your motivation for attending the Global Connections weekend?
Your answer
Do you have the support of your campus minister/chaplain? Please give their name.
Your answer
Have you attended a Canadian Catholic Student Association (CCSA) regional or national conference in the past? *
Your answer
What experience have you had working for and learning about social and environmental justice (e.g. through your campus projects, Development and Peace, Engineers without Borders, Make Poverty History, etc …)? *
Your answer
FINANCIAL ASSISTANCE -- Do you need a bursary to help support your participation? *
If yes, please fill out the next questions. If no, please submit your form.
FINANCIAL ASSISTANCE -- Given the registration fee of $150 and the travel cost, what is the total cost of your participation?
Your answer
FINANCIAL ASSISTANCE -- How much can you contribute?
Your answer
FINANCIAL ASSISTANCE -- What amount would you need to support your participation?
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Additional comments or information
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