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Brave Hearts Recruitment Form

First name

Last name

Student number

Program and year of studies

How would you like to involve yourself? (Note: greater involvement may lead to leadership roles in the futures)

How would you like to involve yourself? (Note: greater involvement may lead to leadership roles in the futures)

What experience do you have?

What experience do you have?

If you have any connections you believe are pertinent and would like to share please do

Any comments or ideas?