IAT Member Application Form
Your opinion matters. Together we can create a more welcoming community.
Name
First Name
Last Name
Email
example@example.com
Country of Birth
Ethnicity
Aboriginal
Arab/West Asian
Black
Chinese
Filipino
Japanese
Korean
Latin American
South Asian
South East Asian
White (Caucasian)
Other
Age
15 - 25
25 - 35
35 - 45
45 - 55
55 - 65
65 - 75
other
Highest form of education?
Occupation
How long have you lived in Canada?
How long Have you lived in Brandon?
Tell us a little bit about yourself.
What makes our mission meaningful to you?
How have you been involved in your community?
Meeting Availability
Weekly
Bi - Weekly
Monthly
Quarterly
Other
What does a welcoming community mean to you?
What knowledges and/or skills will you bring tothe organization?
From your perspective what is the main challenge that Brandon faces?
What is one thing we could do as a community to address the issue?
Tell us something personal about yourself!
Submit
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