{"id":4208,"date":"2021-10-18T16:50:54","date_gmt":"2021-10-18T20:50:54","guid":{"rendered":"https:\/\/carleton.ca\/icslac\/?page_id=4208"},"modified":"2026-06-23T16:36:00","modified_gmt":"2026-06-23T20:36:00","slug":"student-profile-submission-form","status":"publish","type":"page","link":"https:\/\/carleton.ca\/icslac\/forms\/student-profile-submission-form\/","title":{"rendered":"Student Profile Submission Form"},"content":{"rendered":"\n<section class=\"w-screen px-6 cu-section cu-section--white ml-offset-center md:px-8 lg:px-14\">\n    <div class=\"space-y-6 cu-max-w-child-5xl  md:space-y-10 cu-prose-first-last\">\n\n            <div class=\"cu-textmedia flex flex-col lg:flex-row mx-auto gap-6 md:gap-10 my-6 md:my-12 first:mt-0 max-w-5xl\">\n        <div class=\"justify-start cu-textmedia-content cu-prose-first-last\" style=\"flex: 0 0 100%;\">\n            <header class=\"font-light prose-xl cu-pageheader md:prose-2xl cu-component-updated cu-prose-first-last\">\n                                    <h1 class=\"cu-prose-first-last font-semibold !mt-2 mb-4 md:mb-6 relative after:absolute after:h-px after:bottom-0 after:bg-cu-red after:left-px text-3xl md:text-4xl lg:text-5xl lg:leading-[3.5rem] pb-5 after:w-10 text-cu-black-700 not-prose\">\n                        Student Profile Submission Form\n                    <\/h1>\n                \n                                \n                            <\/header>\n\n                    <\/div>\n\n            <\/div>\n\n    <\/div>\n<\/section>\n<script type=\"text\/javascript\">\n\/* <![CDATA[ *\/\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof 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var(--gf-field-img-choice-check-ind-icon-size-md);--gf-field-pg-steps-number-color: rgba(17, 35, 55, 0.8);}<\/style>\n                        <div class='gform_heading'>\n                            <h2 class=\"gform_title\">Student Profile Submission Form<\/h2>\n                            <p class='gform_description'>Doctoral students in the Cultural Mediations program are encouraged to create and maintain an online student profile as a means to connect and engage with our ICSLAC community. All submissions are reviewed prior to posting and can be updated as required.  <\/p>\n                        <\/div><form class='not-prose' method='post' enctype='multipart\/form-data'  id='gform_3'  action='\/icslac\/wp-json\/wp\/v2\/pages\/4208' data-formid='3' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_3' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_3_33\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_33'>URL<\/label><div class='ginput_container'><input name='input_33' id='input_3_33' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_3_33'>This field is for validation purposes and should be left unchanged.<\/div><\/div><fieldset id=\"field_3_1\" class=\"gfield gfield--type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_3_1'>\n                            \n                            <span id='input_3_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.3' id='input_3_1_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_3_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_1.6' id='input_3_1_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_3_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_3_2\" class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_2'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_2' id='input_3_2' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_3_2\" \/>\n                        <\/div><div class='gfield_description' id='gfield_description_3_2'>Carleton cmail address<\/div><\/div><div id=\"field_3_4\" class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_4'>Degrees and Institutions<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_3_4' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_4\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_4'>e.g. B.A. (Carleton), M.A. (Western)<\/div><\/div><div id=\"field_3_31\" class=\"gfield gfield--type-text field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_31'>PhD Stream and Year of Admission<\/label><div class='ginput_container ginput_container_text'><input name='input_31' id='input_3_31' type='text' value='' class='medium'  aria-describedby=\"gfield_description_3_31\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_3_31'>Literary Studies, Musical Culture, Technology and Culture, Visual Culture<\/div><\/div><div id=\"field_3_28\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_28'>Areas of Academic Interest<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_28' id='input_3_28' class='textarea medium'  aria-describedby=\"gfield_description_3_28\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_28'>List disciplines or fields of research<\/div><\/div><div id=\"field_3_6\" class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_6'>Biographical Note<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_6' id='input_3_6' class='textarea medium'  aria-describedby=\"gfield_description_3_6\"   aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_6'>1-2 paragraphs <\/div><\/div><div id=\"field_3_8\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_8'>Doctoral Project (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_8' id='input_3_8' class='textarea medium'  aria-describedby=\"gfield_description_3_8\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_8'>1-2 paragraphs<\/div><\/div><div id=\"field_3_11\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_11'>Selected Conference Presentations (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_3_11' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_12\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_12'>Selected Publications (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_3_12' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_13\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_13'>Selected Exhibitions \/ Creative Work (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_3_13' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_3_19\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_19'>TA Assignment \/ Courses Taught (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_19' id='input_3_19' class='textarea medium'  aria-describedby=\"gfield_description_3_19\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_19'>Provide course code and name <\/div><\/div><div id=\"field_3_20\" class=\"gfield gfield--type-textarea field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_20'>Media Coverage (optional)<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_20' id='input_3_20' class='textarea medium'  aria-describedby=\"gfield_description_3_20\"    aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><div class='gfield_description' id='gfield_description_3_20'>Provide link<\/div><\/div><div id=\"field_3_30\" class=\"gfield gfield--type-fileupload field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_3_30'>Profile Picture (optional)<\/label><div class='ginput_container ginput_container_fileupload'><input type='hidden' name='MAX_FILE_SIZE' value='15728640' \/><input name='input_30' id='input_3_30' type='file' class='medium' aria-describedby=\"gfield_upload_rules_3_30 gfield_description_3_30\" onchange='javascript:gformValidateFileSize( this, 15728640 );'  \/><span class='gfield_description gform_fileupload_rules' id='gfield_upload_rules_3_30'>Accepted file types: jpg, Max. file size: 15 MB.<\/span><div class='gfield_description validation_message gfield_validation_message validation_message--hidden-on-empty' id='live_validation_message_3_30'><\/div> <\/div><div class='gfield_description' id='gfield_description_3_30'>Picture file in jpg format (15 mb max), 1200 px and a minimum of 400 px wide by 400 px high, cropped to a square format.<\/div><\/div><fieldset id=\"field_3_25\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Consent to Publish Information<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input name='input_25.1' id='input_3_25_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_3_25\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_3_25_1' ><\/label><input type='hidden' name='input_25.2' value='' class='gform_hidden' \/><input type='hidden' name='input_25.3' value='12' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_3_25' tabindex='0'>By checking the above box, I hereby grant explicit consent to Carleton University and the Institute for Comparative Studies in Literature, Art and Culture (ICSLAC), in the person of its official FIPPA Representative, to publish my first and last name, my association with the Institute (e.g., student, alumni), my research profile and academic biography, my testimonials and photographs, for the purpose of internal and external communication and\/or promotion and publicity. <br \/>\n<br \/>\nI understand that the personal information and image as described above may be published electronically (e.g., Institute emails, websites) or in print (e.g., event posters and Institute brochures) in the form of congratulatory notices (e.g., awards, program milestones), news and event postings (e.g., awards, exhibition) or Institute documentation ( e.g., program viewbook, brochures). <\/div><\/fieldset><div id=\"field_3_32\" class=\"gfield gfield--type-captcha field_sublabel_below gfield--no-description 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