Sign up form for student decision makers

Sign up form for student decision makers
Please use this form if you would like to sign up to the National Student Decision Makers Network. Please note that fields marked with an asterisk () are mandatory. National Student Decision Makers Network terms* I understand that joining the National Student Decision Makers Network means: I will have access to training and resources to help me as a student decision maker I will receive electronic newsletters to my email address I will be sent a user name and password to access the closed National Student Decision Makers Network online discussion forum (if you have a personal email address) my personal information will be stored confidentially by the Ministry of Youth Development any youth council statistics made public will be anonymous.
Name of the school you represent*
First Name*
Last Name*
Age*
Gender*
Ethnicity*
If other, please state.
Postal Address*
Town/city*
Home Phone*
Mobile Phone*
Private Email Address*
Your Student Representative Role*
Please check this box to indicate you understand the terms of joining the network as listed at the top of this form.*