Staff Contact Information

Staff Information
Name*
First Last
Student Number*
Email (Carleton CMAIL only)*
Program, Year*
Example: Aerospace, 2 (year completed, not year standing in the Fall)
T-shirt Size*
AS = Adult Small etc.
Cell Phone Number*
Allergies/Dietary Restrictions/Medical Conditions*
Please include all dietary restrictions and allergies. If none, please say "N/A or none"
Address*
Your current address (to ship or deliver materials and supplies to you if needed)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Certifications & Documents
Drivers License*
- Full G (or equivalent)
- G2 (or equivalent)
- Do not have a Driver's License
Other Commitments
Do you have any other commitments outside of this position?*
Example: another part-time job
- Yes
- No
Please let us know your other commitments and if it would affect your work hours in any way*
Emergency Contact 1:
Name*
First Last
Relationship to you*
Cell Phone Number*
Home Phone Number
Work Phone Number

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Staff Information