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PC Nomination Form
PC Nomination Form
Your Information:
First Name:
*
Last Name:
*
Student ID:
*
Res & Room #:
*
E-mail :
*
Info of person you're PC-ing:
First Name:
*
Last Name:
*
Res & Room #:
*
Date of PC:
*
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2012
2013
Nature of the PC:
*
Welcomed a new resident
Helped in an emergency situation
Supported/helped create a diverse environment
Community building
Mediated a conflict
Provided support for another resident
Supported Community Living Standards
Ran a program/event beneficial to the community
Initiated solution to a problem
Random act of kindness
Other
If you selected "other", please specify here:
Tell us about the PC:
*
Source URL:
http://www.brocku.ca/residence/residence_life/pc/form
