2021 Summit: Participation Form

Request for Interest

Please indicate your interest below. Volunteers will be offered a 10% registration discount and will be connected on a rolling basis.

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* 1. Full name

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* 2. Post-secondary institution, or community organization or partner

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* 3. Position / Role

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* 4. Contact information

Preferred e-mail

Preferred phone number

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* 5. Please indicate roles you are interested in:

Moderator

Panelist

Student representative

Summit Support

Other (please specify how you would like to participate)