Club + Co-op Intake Form
Thank you for your interest in joining Illuminate Universe as a club or co-op partner. We look forward to working with you to build the skills you need to reach your goals, whether you want to plan events, advance your careers, or switch professions.

*Note: Due to the nature of this program, Illuminate is only available to serve those that are Canadian citizens, permanent residents or persons with refugee status. 

Please complete the registration form below.
What is your official first and last name? *
Which email can we contact you at? Try to record your personal email incase you graduate from your educational institution and access to that email is revoked. *
Which phone number can we reach you at in case of emergency? 
What post-secondary institution or club are you representing? *
What is the full address of the institution or club you are representing? *
What is your club about and what do you hope this partnership will achieve? *
If you are seeking event sponsorships, Illuminate is only available to provide funding for representatives that meet the following criteria:

1) Is enrolled in at least 1 course at a post-secondary institution 
2) Is a a Canadian citizen, PR or refugee. *
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