Post-Secondary Policy Seminar - London Registration Form

Please complete the form below with your current information to register for the seminar. The * indicates required fields.

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Contact Information

Title *

Other Title

First Name *

Last Name *

Address *

Country *

City *

Province/State *

Postal Code/Zip *

Email Address *

Retype Email Address *

Phone Number

School Information

University/College or High School Name *

Graduation Year *

Graduation Year Other *

Degree Program (if applicable)

Degree Other

Major (if applicable)

Major Other

Program Information

The Fraser Institute is offering a limited number of reimbursements for students located outside of London to help subsidize costs associated with travel to and from the seminar. The reimbursements are capped at a maximum of $50 per person to help cover gas, mileage, parking, or transit fares. All transportation arrangements will be the sole responsibility of the attendee. If you are interested in applying for a Travel Reimbursement, please indicate below and a Fraser Institute representative will be in contact with you. Please note reimbursements are available on a first-come-first-serve basis and will only be paid after you have attended the full seminar.

Reimbursement Information *

I do not need a Travel Reimbursement to attend this seminar

I would like to apply for a Travel Reimbursement to attend this seminar

Indicate what city/town you will be travelling from to attend the seminar *

Indicate the distance (in kms.) you will be travelling to attend the seminar one-way *

kms.

Indicate your requested amount for the bursary *

How did you hear about us? *

Name of referring Teacher or Professor

Please specify:

Are you interested in volunteering for us?

Yes

General Comments