ICCJ BIPOC Caucus: Membership Registration Form 
Registration form for ICCJ BIPOC Caucus 2023-2024 General Membership!
First and Last Name  *
Carleton Email *
Student Number  *
Year of study? *
Do you identify as a Black, Indigenous, or a Person of Colour (BIPOC)?  *
Are you a student in the Institute of Criminology & Criminal Justice? (Including minor discipline). *
Our organizations' principles are listed below, please indicate which of the following resonates with you the most. *
Feel free to add any other value(s) that are important to you in the "Other" option.
Required
Select the following options that appeal to you most: *
You can choose more than one option*
Required
How did you hear about us?  *
What kind of events would you like to see from us?
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