{"id":7,"date":"2015-02-06T13:48:50","date_gmt":"2015-02-06T19:48:50","guid":{"rendered":"https:\/\/www.brandonu.ca\/studentleaders\/?page_id=7"},"modified":"2026-03-06T14:19:02","modified_gmt":"2026-03-06T20:19:02","slug":"online-application","status":"publish","type":"page","link":"https:\/\/www.brandonu.ca\/studentleaders\/online-application\/","title":{"rendered":"Online Application"},"content":{"rendered":"<script type=\"text\/javascript\" data-cfasync=\"false\">\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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gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n\/* ]]> *\/\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_14' ><div id='gf_14' class='gform_anchor' tabindex='-1'><\/div><form method='post' enctype='multipart\/form-data'  id='gform_14'  action='\/studentleaders\/wp-json\/wp\/v2\/pages\/7#gf_14' data-formid='14' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_14' class='gform_fields top_label form_sublabel_above description_below validation_below'><li id=\"field_14_30\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_30'>Facebook<\/label><div class='ginput_container'><input name='input_30' id='input_14_30' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_14_30'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_14_7\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">About You<\/h2><\/li><li id=\"field_14_1\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Your Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><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_14_1'>\n                            \n                            <span id='input_14_1_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <label for='input_14_1_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                    <input type='text' name='input_1.3' id='input_14_1_3' value=''   aria-required='true'    autocomplete=\"given-name\" \/>\n                                                <\/span>\n                            \n                            <span id='input_14_1_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                            <label for='input_14_1_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                            <input type='text' name='input_1.6' id='input_14_1_6' value=''   aria-required='true'    autocomplete=\"family-name\" \/>\n                                                        <\/span>\n                            \n                        <\/div><\/li><li id=\"field_14_16\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_16'>Student Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_14_16' type='text' value='' class='large' maxlength='6' aria-describedby=\"gfield_description_14_16\"   aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_14_16'>Your 6-digit student number<\/div><\/li><li id=\"field_14_26\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_26'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_26' id='input_14_26' type='email' value='' class='large'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_14_19\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_19'>Cell Phone Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_14_19' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_14_10\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">How Can We Reach You?<\/h2><div class='gsection_description' id='gfield_description_14_10'>The Student Leader Program uses multiple methods of communication (i.e. Email and Text Messages) to reach Student Leaders for upcoming events, reminders, job postings, etc. In general, email communication with Student Leaders occurs on average once per week throughout the academic year. \n\nBy selecting the method of contact below, you agree to receive program emails and occasional text messages regarding shifts you signed up for.<\/div><\/li><li id=\"field_14_11\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_14_11'>Preferred Method of Contact<\/label><div class='ginput_container ginput_container_select'><select name='input_11' id='input_14_11' class='medium gfield_select'     aria-invalid=\"false\" ><option value='Email' >Email<\/option><option value='Phone' >Phone<\/option><\/select><\/div><\/li><li id=\"field_14_29\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >Please choose which Tier you wouldl ike to join.<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_14_29'><li class='gchoice gchoice_14_29_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.1' type='checkbox'  value='Tier One: Orientation Student Leader (involvement level: low)'  id='choice_14_29_1'   aria-describedby=\"gfield_description_14_29\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_14_29_1' id='label_14_29_1' class='gform-field-label gform-field-label--type-inline'>Tier One: Orientation Student Leader (involvement level: low)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_29_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.2' type='checkbox'  value='Tier Two: Student Engagement Leader (involvement level: medium, 15 volunteer hours)'  id='choice_14_29_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_29_2' id='label_14_29_2' class='gform-field-label gform-field-label--type-inline'>Tier Two: Student Engagement Leader (involvement level: medium, 15 volunteer hours)<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_29_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_29.3' type='checkbox'  value='Tier Three: Student Engagement Navigator (involvement level: high, 20 volunteer hours)'  id='choice_14_29_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_29_3' id='label_14_29_3' class='gform-field-label gform-field-label--type-inline'>Tier Three: Student Engagement Navigator (involvement level: high, 20 volunteer hours)<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_14_29'>If you would like to volunteer throughout the year as well as for Orientation, please select more than one option.<\/div><\/li><li id=\"field_14_22\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">Tell Us About You<\/h2><div class='gsection_description' id='gfield_description_14_22'>The following information is being collected for statistical purposes and to allow us to maintain and improve our programs. It may also be used for research purposes, but individual identities will not be disclosed. If you have any questions about the collection or use of this data, contact the Dean of Student Services at 204-767-9635.  The university collects the personal information on this form pursuant to the Brandon University Act. Once collected, the information you provide is protected under the Manitoba Freedom of Information and Privacy Act (FIPPA).<\/div><\/li><li id=\"field_14_23\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-full gfield_contains_required field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' >How did you hear about the Student Leader program?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_14_23'><li class='gchoice gchoice_14_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='Social Media'  id='choice_14_23_1'   aria-describedby=\"gfield_description_14_23\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_14_23_1' id='label_14_23_1' class='gform-field-label gform-field-label--type-inline'>Social Media<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_23_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.2' type='checkbox'  value='Email'  id='choice_14_23_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_23_2' id='label_14_23_2' class='gform-field-label gform-field-label--type-inline'>Email<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_23_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.3' type='checkbox'  value='Word of Mouth'  id='choice_14_23_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_23_3' id='label_14_23_3' class='gform-field-label gform-field-label--type-inline'>Word of Mouth<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_23_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.4' type='checkbox'  value='Another Student Leader'  id='choice_14_23_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_23_4' id='label_14_23_4' class='gform-field-label gform-field-label--type-inline'>Another Student Leader<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_23_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.5' type='checkbox'  value='Event \/ booth'  id='choice_14_23_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_23_5' id='label_14_23_5' class='gform-field-label gform-field-label--type-inline'>Event \/ booth<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_14_23_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.6' type='checkbox'  value='Other'  id='choice_14_23_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_14_23_6' id='label_14_23_6' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_14_23'>Please select all that apply.<\/div><\/li><li id=\"field_14_24\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >Which Faculty\/Program are you part of?<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_24'>\n\t\t\t<li class='gchoice gchoice_14_24_0'>\n\t\t\t\t<input name='input_24' type='radio' value='Arts'  id='choice_14_24_0'    \/>\n\t\t\t\t<label for='choice_14_24_0' id='label_14_24_0' class='gform-field-label gform-field-label--type-inline'>Arts<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_24_1'>\n\t\t\t\t<input name='input_24' type='radio' value='Fine Arts'  id='choice_14_24_1'    \/>\n\t\t\t\t<label for='choice_14_24_1' id='label_14_24_1' class='gform-field-label gform-field-label--type-inline'>Fine Arts<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_24_2'>\n\t\t\t\t<input name='input_24' type='radio' value='Business'  id='choice_14_24_2'    \/>\n\t\t\t\t<label for='choice_14_24_2' id='label_14_24_2' class='gform-field-label gform-field-label--type-inline'>Business<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_24_3'>\n\t\t\t\t<input name='input_24' type='radio' value='Science'  id='choice_14_24_3'    \/>\n\t\t\t\t<label for='choice_14_24_3' id='label_14_24_3' class='gform-field-label gform-field-label--type-inline'>Science<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_24_4'>\n\t\t\t\t<input name='input_24' type='radio' value='Environmental Science'  id='choice_14_24_4'    \/>\n\t\t\t\t<label for='choice_14_24_4' id='label_14_24_4' class='gform-field-label gform-field-label--type-inline'>Environmental Science<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_24_5'>\n\t\t\t\t<input name='input_24' type='radio' value='Music'  id='choice_14_24_5'    \/>\n\t\t\t\t<label for='choice_14_24_5' id='label_14_24_5' class='gform-field-label gform-field-label--type-inline'>Music<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_24_6'>\n\t\t\t\t<input name='input_24' type='radio' value='Health Studies - Nursing'  id='choice_14_24_6'    \/>\n\t\t\t\t<label for='choice_14_24_6' id='label_14_24_6' class='gform-field-label gform-field-label--type-inline'>Health Studies - Nursing<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_24_7'>\n\t\t\t\t<input name='input_24' type='radio' value='Health Studies - Psychiatric Nursing'  id='choice_14_24_7'    \/>\n\t\t\t\t<label for='choice_14_24_7' id='label_14_24_7' class='gform-field-label gform-field-label--type-inline'>Health Studies - Psychiatric Nursing<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_24_8'>\n\t\t\t\t<input name='input_24' type='radio' value='Education (After-Degree)'  id='choice_14_24_8'    \/>\n\t\t\t\t<label for='choice_14_24_8' id='label_14_24_8' class='gform-field-label gform-field-label--type-inline'>Education (After-Degree)<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_24_9'>\n\t\t\t\t<input name='input_24' type='radio' value='Bachelor of Arts\/Bachelor of Education Integrated'  id='choice_14_24_9'    \/>\n\t\t\t\t<label for='choice_14_24_9' id='label_14_24_9' class='gform-field-label gform-field-label--type-inline'>Bachelor of Arts\/Bachelor of Education Integrated<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_24_10'>\n\t\t\t\t<input name='input_24' type='radio' value='Bachelor of Physical Education'  id='choice_14_24_10'    \/>\n\t\t\t\t<label for='choice_14_24_10' id='label_14_24_10' class='gform-field-label gform-field-label--type-inline'>Bachelor of Physical Education<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_24_11'>\n\t\t\t\t<input name='input_24' type='radio' value='Masters Program'  id='choice_14_24_11'    \/>\n\t\t\t\t<label for='choice_14_24_11' id='label_14_24_11' class='gform-field-label gform-field-label--type-inline'>Masters Program<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_27\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full field_sublabel_above gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' >If you would like, please self-identify as Indigenous to be contacted first to work with Indigenous students and\/or Indigenous events on campus. This is not mandatory.<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_14_27'>\n\t\t\t<li class='gchoice gchoice_14_27_0'>\n\t\t\t\t<input name='input_27' type='radio' value='Yes'  id='choice_14_27_0'    \/>\n\t\t\t\t<label for='choice_14_27_0' id='label_14_27_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_14_27_1'>\n\t\t\t\t<input name='input_27' type='radio' value='No'  id='choice_14_27_1'    \/>\n\t\t\t\t<label for='choice_14_27_1' id='label_14_27_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_14_8\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_above gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><h2 class=\"gsection_title\">What&#039;s on your mind?<\/h2><div class='gsection_description' id='gfield_description_14_8'>Please let us know what&#039;s on your mind. 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