CEN - Delegate Form -

Calls for Delegates

*************************************************

Complete the form below and return it before the deadline indicated in the call for delegates.

A National Caucus Coordinator will confirm receipt of your application by email. If you do not receive an email confirmation within 24 hours of submitting your application, please contact the RCEN at 613-728-9810.

*************************************************

On-line Application Form


"*" Indicates a required field
Name*:
Gender:	Male Female
Organization*:
Mailing Address*:
City*:
Province*:
Postal code*:
Phone*:
Phone2:	ext
Fax:
E-mail*:
Name of consultation you are applying for*:

Is your organization a member of the CEN?	yes	no
Are you available to participate in any indicated preparatory meetings or conference calls? (see consultation Details)	yes	no
Are you willing to be available to participate in any post-consultation conference calls or meetings?	yes	no
Are you willing to write a short report after the consultation, for the information of other ENGOs?	yes	no
Outline your experience in this field and why you are interested in participating in this consultation.