Published on Brock University (http://www.brocku.ca)

SLIC Member Application

Student Leadership and Innovation Commons

SLIC is open to all Brock Students! Individuals and organizational members are welcome to join us. If you are interested in becoming a member of SLIC, please read the Membership Agreement prior to completing this Member Application form.

SLIC Member Application

Applying For: *

Individual Membership (Inno-Pod)

Student Organization Membership (Inno-Pod; option a)

Student Organization Membership (Inno-Pod; option b)

Please select one option

Your Name:: *

This student will be contacted by SLIC admin.

Organization/Club Name: *

Description of Organization/Club: *

Email: *

*please provide us with either your Brock email address or your organization's email address.

Phone: *

Website:

If you have a website for your organization, let us know!

How many people from your organization/project would be using your space?: *

Please provide us with a complete list of names for students who may at some point use your space in the SLIC.

Club Members - complete list: *

Club Member Emails - complete list: *

What are some events/programs you have run (in the past, ideas for this year)?: *

Let us know your plans!

How do you see your club collaborating through SLIC?: *

What networks or collaborations are you a part of?: *

Other::

Source URL: http://www.brocku.ca/slic/the-essentials/slic-member-application