Membership Application

You will need to upload your resume at the end of this form. Thank you for taking the time to fill-up our application form!

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Current Employer

Education

Skills, Experience and Interests


What experience and knowledge will you bring to Pueblo Science? Please indicate your skill level in the following areas.
























Payment




The membership fee per year is $10, payable by cash, credit card or cheque to Pueblo Science.

Pueblo Science mailing and office address: 60 St. George Street, Suite 331, Toronto, ON, M5S1A7 Canada

Mailing List

Linked In

Authorization and Agreement by Applicant


I certify that the above statements are true and complete to the best of my knowledge. I understand that any false statement, omission or misrepresentation in my application or placement interview may result in the rejection of my application or discharge from the membership.

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