University Name
*
Location (City, Province/State, Country)
*
Primary Contact Name
*
First Name
Last Name
Primary Contact Email
*
Team Name
*
Participant Name
*
First Name
Last Name
Gender
*
Male
Female
Non-Binary
Other
Prefer not to say
Date of Birth
*
MM
DD
YYYY
Program of Study
*
Year of Study & Credits Completed
*
Link to LinkedIn Profile
*
Phone Number
*
Country
(###)
###
####
E-mail Address
*
Dietary Restrictions
*
Vegetarian
Vegan
Halal
Kosher/Kashrut
None
Other(Specify below)
Other
Describe Yourself in Four Sentences
*
Will You Send Your CV, Latest Transcript and Headshot to external@ engcomm.ca?
*
Yes
No
Participant Name
*
First Name
Last Name
Gender
*
Male
Female
Non-Binary
Other
Prefer not to say
Date of Birth
*
MM
DD
YYYY
Program of Study
*
Year of Study & Approximate Credits Completed
*
Link to LinkedIn Profile
*
Phone Number
*
Country
(###)
###
####
E-mail Address
*
Dietary Restrictions
*
Vegetarian
Vegan
Halal
Kosher/Kashrut
None
Other(Specify below)
Other
Describe Yourself in Four Sentences.
*
Will You Send Your CV, Latest Transcript and Headshot to external@engcomm.ca?
*
Yes
No
Participant Name
*
First Name
Last Name
Gender
*
Male
Female
Non-Binary
Other
Prefer not to say
Date of Birth
*
MM
DD
YYYY
Program of Study
*
Year of Study & Approximate Credits Completed
*
Link to LinkedIn Profile
*
Phone Number
*
Country
(###)
###
####
E-mail Address
*
Dietary Restrictions
*
Vegetarian
Vegan
Halal
Kosher/Kashrut
None
Other(Specify below)
Other
Describe Yourself in Four Sentences.
*
Will You Send Your CV, Latest Transcript, and Headshot to external@engcomm.ca?
*
Yes
No
Participant Name
*
First Name
Last Name
Gender
*
Male
Female
Non-Binary
Other
Prefer not to say
Date of Birth
*
MM
DD
YYYY
Program of Study
*
Year of Study & Approximate Credits Completed
*
Link to LinkedIn Profile
*
Phone Number
*
Country
(###)
###
####
E-mail Address
*
Dietary Restrictions
*
Vegetarian
Vegan
Halal
Kosher/Kashrut
None
Other(Specify below)
Other
Desribe Yourself in Four Sentences.
*
Will You Send Your CV, Latest Transcript, and Headshot to external@engcomm.ca?
*
Yes
No
Coach's Name
*
First Name
Last Name
Link to LinkedIn Profile
*
Phone Number
*
Country
(###)
###
####
Email Address
*
Dietary Restrictions
*
Vegetarian
Vegan
Halal
Kosher/Kashrut
None
Other (Specify below)
Other
Second Coach's Name (Optional)
First Name
Last Name
Link to LinkedIn Profile (Optional)
Phone Number (Optional)
(###)
###
####
Email Address (Optional)
Dietary Restrictions
Vegetarian
Vegan
Halal
Kosher/Kashrut
None
Other (Specify below)
Other
Special Needs / Comments
Payment Confirmation
*
The total cost per team is $4100 CAD. A 500$ deposit will be due before November 30th, 2023. This fee will cover the hotel accommodations, food, and transportation for competition-related activities (excluding transportation to Montreal) for both students and coach(es).
Breakdown of cost:
- Cost per team of 4 students is $2,875.
- The cost per coach is $1,225 CAD. (maximum of 2 coaches, 1 shared room) and they have the same benefits as the students.
Timeline of Deadlines:
1. Application open – August 31st, 2023
2. Application close – November 30th, 2023
3. Early $500 Deposit – November 30th, 2023
4. Remaining balance – December 15th, 2023. Failure to pay within the set deadline subjects the Delegation to late fees of 5% of the total cost every month.
5. Team Delegate Information – December 15th, 2023
We accept the provided terms and conditions.
We have read and understood the rules and guidelines provided by the ENGCOMM Executive Team.