Basic Committee Application Social share icons You must have JavaScript enabled to use this form. Leave this field blank First Name Last Name Employee ID # Unit # Street Address Apartment, Suite, etc. City/Town Province - Select -AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Home Email Home Telephone Cell Phone Relevant experience and/or reasons Employer Telus Shaw Strategic Communications Stericycle Submit