Name:
Job Title:
Institution/Organization:
Telephone:
Email
Which Regional Advisory Board are you interested in serving on? == choose one == Canada West Ontario Quebec Atlantic
Why are you interested in serving on a CACEE Regional Advisory Board (Suggested Length: 150 - 300 Words)?
Please provide a brief biography with particular emphasis on knowledge, skills, and expertise that make you a great candidate for a Regional Advisory Board (Suggested Length 150- 300 Words):
Please outline your involvement with CACEE (Point Form Summary):
Are you able to commit at least 3 hours per month to volunteering with CACEE? == choose one == Yes No