OUSA Delegate Application Form

Applications due: Friday, January 21, 2022 by 11:59pm

Spring General Assembly
Date: March 10-13th
Where: TBD
Contact: externalaffairs@westernusc.ca

Please note: Only those deemed qualified will receive notification of an interview. The University Students’ Council is an equal opportunity employer. The USC is committed to providing accommodations to those with disabilities. If you require an accommodation, we will work with you to meet your needs.

Name: Name: First Last
Email:
Phone: Phone: - ### - ### ####
Why do you want to be an OUSA delegate?
Maximum of 300 words allowed. Currently Entered: 0 words.
What experience do you have that relates to any of the three policy papers?
Maximum of 300 words allowed. Currently Entered: 0 words.
Please upload a headshot of yourself in the form of a .jpg file:

Attach Files
Nominators
Application must be endorsed by three other Western students. Provide their contact information below.
Nominator 1: Name Nominator 1: Name First Last
Nominator 1: Student Number
Must be 9 digits. Currently Entered: 0 digits.
Nominator 2: Name Nominator 2: Name First Last
Nominator 2: Student Number
Must be 9 digits. Currently Entered: 0 digits.
Nominator 3: Name Nominator 3: Name First Last
Nominator 3: Student Number
Must be 9 digits. Currently Entered: 0 digits.

OUSA Delegate Application Form

OUSA Delegate Application Form

Nominators Application must be endorsed by three other Western students. Provide their contact information below.

Nominators
Application must be endorsed by three other Western students. Provide their contact information below.