National Forum Registration

*these fields are required
Nominator Name*
Nominator Email*
Nominator Phone*

Nominee FirstName*
Nominee LastName*
Age*
School Attending*
School Year (or grade)*
Field of Interest*	If Other:
Field of Study*
Email*
Phone*
Address
City*
Province*
Postal Code
Why would your nominee benefit from attending the National Student Forum?*
Please give an example of how your nominee has been a person of influence (ie. on campus, church etc.):*
One of the mandates of the forum is to foster bonds of love, fellowship and support between students and professionals in our nation. How would your nominee contribute to the development of this mandate?*

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