Membership Application Form

Personal Information

First Name*
Last Name*
Apart./Unit#
Address*
City*
Prov/State
Postal Code*
Home Phone
Home Email*
Mobile Phone*
Work Email*

Job Information

Unit*
Units: 1) student or postdoc teaching assistants, course instructors, invigilators, chief presiding officers, etc.; 2) Victoria University; 3) non-student sessional lecturers, musical professionals, writing instructors and instructional assistants; 4) St. Michael’s College; 5) internally-funded postdoctoral fellows; and 6) non-credit instructors in New College’s International program
Department*
Job Title*

Degree Information

Degree Title
Year
Department
Academic Year
Would you like to receive occasional notices by post?
Would you like to receive occasional notices by sms?
Are you in Canada on a work or study visa?
Would you like to be contacted about getting involved with the Union?