2011-12 peak leadership reg form

Page 1

BCITSA Peak Leadership Program Full Name:

Year & Option:

Student Number:

Preferred Contact Method:

School:

Phone Number:

Program:

Email Address:

Mandatory Training Dates (choose one as your RSVP): Tuesday, September 20th from 4:30pm-5:30pm or Thursday, September 22nd from 6-7pm or Wednesday, September 28th from 3-4pm 1) What is your definition of “leadership”?

2) Why do you want to participate in PEAK Leadership?

3) Do you have any questions for us?

Please return your completed form by 4pm on Tuesday, September 27th to: Uconnect Resource Centre SE2, Room 286 604-451-7087 uconnect@bcitsa.ca

3700 Willingdon Avenue, Burnaby BC, V5G 3H2 | Bus: 604.432.8600 Fax: 604.434.3809 | www.bcitsa.ca


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