University Student Representative Program Application

Welcome to the CNS University Student Representative (USR) Program Sign-Up Form!

We are pleased that you're interested in participating in the 2025–2026 CNS USR Program, either as a Student Representative or Faculty Advisor.

Before applying, please ensure you are a current CNS member for 2025, as membership is required to be eligible for the program. This short form will help us gather your interest and assign roles for the upcoming academic year. Depending on your selection (USR or Faculty Advisor), relevant questions will appear.

Thank you for your commitment to advancing nutrition science and supporting the CNS community!

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* 1. Address

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* 2. University / Institution:

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* 3. Department / Program:

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* 4. Current level of education (as of September 2025)

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* 5. Name of Supervisor (if not applicable please type N/A)

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* 6. Have you previously served as a USR/Faculty Advisor?

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* 7. If your answer to the above question was "yes" pleaase indicate which term you served as a USR

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* 8. Are you applying as a:

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