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ICCJ BIPOC Caucus: Membership Registration Form
Registration form for ICCJ BIPOC Caucus 2023-2024 General Membership!
* Indicates required question
First and Last Name
*
Your answer
Carleton Email
*
Your answer
Student Number
*
Your answer
Year of study?
*
1st year
2nd year
3rd year
4th year
Other:
Do you identify as a Black, Indigenous, or a Person of Colour (BIPOC)?
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Yes
No
Are you a student in the Institute of Criminology & Criminal Justice? (Including minor discipline).
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Yes
No
Our organizations' principles are listed below, please indicate which of the following resonates with you the most.
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Feel free to add any other value(s) that are important to you in the "Other" option.
Awareness
Cultural Empowerment
Equality, Diversity and Inclusivity
Educational and Professional Success
Accountability and Safeguarding
Other:
Required
Select the following options that appeal to you most:
*
You can choose more than one option*
Academic Support and Opportunities
Career Support and Opportunities
Volunteer Opportunities
Health and Wellness Support
Safe Space
Required
How did you hear about us?
*
Social media (ie., facebook, instagram, linkedin)
Email
From a friend
Internet search
Class Speaker
Other:
What kind of events would you like to see from us?
Your answer
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