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    Sos Membership

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    ScienceOne Survivors
    This document is a membership form for Science One Survivors (SOS), a student organization. The form collects general information like name, student number, and contact details. It requests a $10 lifetime membership fee to be paid by cash, cheque, or credit/debit. Members must agree to the SOS constitution. The optional second page collects information for those interested in the mentoring program, including where they live, how often they want to meet their mentor, subject areas they need help in, and their academic field of interest. It asks if they have any SOS alumni they want to request as their mentor.

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    Sos Membership

    Uploaded by

    ScienceOne Survivors
    18 views1 page
    This document is a membership form for Science One Survivors (SOS), a student organization. The form collects general information like name, student number, and contact details. It requests a $10 lifetime membership fee to be paid by cash, cheque, or credit/debit. Members must agree to the SOS constitution. The optional second page collects information for those interested in the mentoring program, including where they live, how often they want to meet their mentor, subject areas they need help in, and their academic field of interest. It asks if they have any SOS alumni they want to request as their mentor.

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    Sos.membership

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    This document is a membership form for Science One Survivors (SOS), a student organization. The form collects general information like name, student number, and contact details. It requests a $10 lifetime membership fee to be paid by cash, cheque, or credit/debit. Members must agree to the SOS constitution. The optional second page collects information for those interested in the mentoring program, including where they live, how often they want to meet their mentor, subject areas they need help in, and their academic field of interest. It asks if they have any SOS alumni they want to request as their mentor.

    Copyright:

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    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    18 views1 page

    Sos Membership

    Uploaded by

    ScienceOne Survivors
    This document is a membership form for Science One Survivors (SOS), a student organization. The form collects general information like name, student number, and contact details. It requests a $10 lifetime membership fee to be paid by cash, cheque, or credit/debit. Members must agree to the SOS constitution. The optional second page collects information for those interested in the mentoring program, including where they live, how often they want to meet their mentor, subject areas they need help in, and their academic field of interest. It asks if they have any SOS alumni they want to request as their mentor.

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    of 1

    Science 0ne Suivivois (S0S)

    2u1u2u11 Nembeiship Foim




    ueneial Infoimation ueneial Infoimation ueneial Infoimation ueneial Infoimation
    Fiist Name:
    uenuei: | ] Nale | ] Female
    0BC Stuuent Numbei:
    Email:
    Phone Numbei:
    Payment Infoimation Payment Infoimation Payment Infoimation Payment Infoimation (please hanu in youi fee with this foim!)
    S0S lifetime membeiship fee: $1u.uu CBN | ] cash | ] cash | ] cash | ] cash

    S0S Constitution S0S Constitution S0S Constitution S0S Constitution (can be founu on oui website: scienceonesuivivois.blogspot.com)
    I have ieau the S0S Constitution. By signing below, I confiim that I fully unueistanu anu comply
    with the entiie contents of the constitution.
    X

    S0S Nentoiship S0S Nentoiship S0S Nentoiship S0S Nentoiship Piogiam Application Piogiam Application Piogiam Application Piogiam Application (optional)
    1. 1. 1. 1. Wheie aie you cuiiently living.
    | ] 0n campus
    | ] At home,!


    scienceonesuivivois.blogspot.com
    Last Name:
    (8 uigits)
    | ] cheque (payable to Science 0ne Suivivois) | ] cheque (payable to Science 0ne Suivivois) | ] cheque (payable to Science 0ne Suivivois) | ] cheque (payable to Science 0ne Suivivois)
    signatuie
    (inseit name of citytown)
    2. 2. 2. 2. Bow often woulu you like to meet with youi
    mentoi.
    | ] 0nce a week
    | ] 0nce eveiy two weeks
    | ] 0nce a month
    | ] 0ccasionally (when you neeu help)
    S. S. S. S. Woulu you be moie comfoitable with a ..
    | ] Nale mentoi
    | ] Female mentoi
    | ] No piefeience
    4. 4. 4. 4. Which of the following subjects woulu you
    want youi mentoi to help you with (choose all
    that apply).
    | ] Choosing Couises
    | ] Physics
    | ] Nath
    | ] Chemistiy
    | ] Biology
    S. S. S. S. What is youi acauemic fielu of inteiest.


    6. 6. 6. 6. Bo you know any Science 0ne Alumni who
    you woulu like to iequest as youi mentoi. If so,
    please list theii name(s) heie:

    (Note: we may be unable to comply with youi
    iequest if moie than one peison iequests the same
    mentoi, oi if she uoes not wish to be a mentoi.)
    !""#$%$&%'()*+#,-'$(#./0#,%%(#
    $1(2#&%#)./0%0#*/#2-#.#343#
    56%712*8%#49#4:#;5<4:5#
    !"#$%&'()*+),-).'/0
    +1
    2'34/4'
    Please complete both siues both siues both siues both siues.

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