CIC Student Chapters
Fill out this application to be listed as an official Student Chapter of the Chemical Institute of Canada (CIC) through one of the 3 constituent societies:
Canadian Society for Chemsitry (CSC)
Canadian Society for Chemical Engineering (CSChE)
Chemical Society for Chemical Technology (CSCT)

Find out more at http://www.cheminst.ca/student/student-chapters

Questions? Send them to student@cheminst.ca.

Chemical Institute of Canada / Institut de chimie du Canada
CIC Constituent Society *
Select the most appropriate CIC consituent society for your Student Chapter.
Program Level *
Select the most appropriate program level(s) for your Student Chapter.
Required
Student Chapter Name *
Enter the official name for your Student Chapter.
Your answer
Affiliation (University/College) *
Enter the name of the university or college at which your Student Chapter is based.
Your answer
Department
Enter the name of the department at which your Student Chapter is based.
Your answer
Location - City *
Your answer
Location - Province/Territory *
Main Contact Email *
Enter the main contact email for your Student Chapter (could be either a general email address or the current president's email address).
Your answer
Name of Current President
Enter the name of the current President (or Chair, etc.) for your Student Chapter. If there are two co-presidents, you may enter both names.
Your answer
Website
Your answer
Facebook (link)
Your answer
Twitter (link)
Your answer
Instagram (link)
Your answer
Other Links (e.g. Blog, LinkedIn, etc)
Please enter one link per line, each as a valid URL.
Your answer
Faculty Advisor - Name
Your answer
Faculty Advisor - Email
Your answer
Department Chair - Name
Your answer
Department Chair - Email
Your answer
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