CIFAL York Affiliate Application CIFAL York Affiliate Application Please complete this form to be considered for a position as a CIFAL York Affiliate Member. Name(Required) Dr.MissMr.Mrs.Ms.Prof.Rev. Prefix First Last Email(Required) Organization(Required) Professional Title and Affiliations(Required) Please indicate your primary area(s) of expertise relevant to CIFAL York (e.g., disaster management, health, climate change, equity, digital innovation).(Required)Which CIFAL York initiatives are you most interested in participating in?(Required) Speaker Series Workshops Courses Research Projects Citizen Science Labs Student Mentoring Outreach Fundraising Are you willing to assist in promoting CIFAL York events through your networks or social media(Required) Yes No How many CIFAL York events would you reasonably attend or contribute to per year?(Required) 1-2 3-5 5+ Are there additional skills or resources you would like to contribute to CIFAL York’s mission(Required)