SC-CÉ Student Representative Application Form
Are you interested in becoming a SC-CÉ Student Representative on your campus? If so, please complete this form to tell us a bit more about you and why you are interested in this role. The Student Representative coordinator will follow-up with you shortly.
Information you provide may be used by the SC-CÉ for evaluation and quality improvement purposes.
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* Required
First Name
*
Your answer
Last name
*
Your answer
Email
Your answer
University
*
Your answer
Program
*
Your answer
Degree Level
*
Undergraduate
Masters
PhD
Postdoctoral fellow
Other:
Are you a member of the CAG?
*
Yes
No
Why do you want to be a Student Representative?
*
Your answer
I understand that the Student Representative position is a one-year commitment
*
Yes
Required
When do you like to start your term as Student Representative?
*
MM
/
DD
/
YYYY
Do you have a colleague who may be interested in acting as a co-representative at your school?
*
Yes
No
Maybe
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