Council Nomination Form

Name
First Last
Organization
Job Title
Address*
Street Address Address Line 2 City Province Postal Code
Email*
Phone*
Briefly describe your experience with experiential learning (max 100 words):*
How can you best help us execute our strategy/support our mandate:
Please provide an overview explaining why you are interested in joining the Council for Experiential Learning (max 100 words):
What unique skills/background will you bring to the Council:
How did you hear about us?*

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