JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CIC Student Chapters
Fill out this application to be listed as an official Student Chapter of the Chemical Institute of Canada (CIC) through one of the 2 constituent societies:
Canadian Society for Chemsitry (CSC)
Canadian Society for Chemical Engineering (CSChE)
Find out more at
http://www.cheminst.ca/student/student-chapters
Questions? Send them to
student@cheminst.ca
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
CIC Constituent Society
Select the most appropriate CIC consituent society for your Student Chapter.
Canadian Society for Chemistry
Canadian Society for Chemical Engineering
Clear selection
Program Level
*
Select the most appropriate program level(s) for your Student Chapter.
Undergraduate
Graduate
Required
Student Chapter Name
*
Enter the official name for your Student Chapter.
Your answer
Affiliation (University/College)
*
Enter the name of the university or college at which your Student Chapter is based.
Your answer
Department
Enter the name of the department at which your Student Chapter is based.
Your answer
Location - City
*
Your answer
Location - Province/Territory
*
Choose
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
Main Contact Email
*
Enter the main contact email for your Student Chapter (could be either a general email address or the current president's email address).
Your answer
Name of Current President
Enter the name of the current President (or Chair, etc.) for your Student Chapter. If there are two co-presidents, you may enter both names.
Your answer
Website
Your answer
Facebook (link)
Your answer
Twitter (link)
Your answer
Instagram (link)
Your answer
Other Links (e.g. Blog, LinkedIn, etc)
Please enter one link per line, each as a valid URL.
Your answer
Faculty Advisor - Name
Your answer
Faculty Advisor - Email
Your answer
Department Chair - Name
Your answer
Department Chair - Email
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
