SC-CÉ Student Representative Application Form

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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.

First Name *

Last name *

University *

Program *

Degree Level *

Undergraduate

Masters

PhD

Postdoctoral fellow

Other:

Are you a member of the CAG? *

Yes

Why do you want to be a Student Representative? *

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? *

YYYY

When is your expected date of graduation *

YYYY

Do you have a colleague who may be interested in acting as a co-representative at your school? *

Yes

Maybe

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