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PACBIC Membership Application Form

PACBIC is accepting nominations for the 2017-18 academic year until July 14th, 2017.  To be considered for membership, please complete the form below. You can nominate yourself or someone else.  For more information please contact

Application Type:
Please select how this application is being made and then follow the instructions that appear immediately after.
Application Type:

Individual Member Type: Please specify what type of individual you are with respect to McMaster University.

Nominee Information:
Please enter the nominee contact information to the best of your ability.
Nominee Questions:
Please answer the following questions.
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Please feel free to provide additional information that would assist the nomination committee (e.g. resume, biographical entry, organizational pamphlet, etc.). (2 page maximum .pdf or .doc format * this is entirely optional.)

Please submit this application to by selecting the Submit Application button below. A copy will be sent to the nominee's email address. Please print a copy for your records prior to submitting.

Alternatively, you can mail your submission to the Equity and Inclusion Office, McMaster University, MUSC (Student Centre), 2nd floor, Room 212, 1280 Main St. W., Hamilton, ON, L8S 4S4. If you have any questions or concerns, please contact Khadijeh Rakie at 905-525-9140 ext. 27581 or by email

Application deadline: Friday, July 14th, 2017.

McMaster University is committed to equity and encourages applications from all qualified candidates including persons who are First Nations, Métis, Inuit, persons with disabilities, women, members of racialized communities and LGBTQ-identified persons.