Fellowship Alumni Association Steering Committee Application

Name(Required)

First Last

Phone(Required)

Email(Required)

Province of Residence(Required)

Year(s) Participated in the Fellowship(Required)

University/Universities Attended(Required)

Current title and company(Required)

Why would you like to join the Alumni steering committee?(Required)

What value do you think that you can bring to the steering committee?(Required)

Is there anything that CJPAC and the community should know about you?(Required)

What is your favourite CJPAC memory?(Required)

Do you have any additional comments?