Home > BENEFITSActivity Grant > YM Section CENSUS form

    Name of the Young Minds Section:

    Parent Institution:

    Section E-mail address (if it has one):

    Section webpage (if any):

    Section Social Media (if any):

    Facebook:

    Instagram:

    Twitter:

     

    Section members:

    Faculty Advisor

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

    President

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Vice President

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Treasurer

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Secretary

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Further members:

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    Name:

    Surname:

     

    Membership number:

    E-mail address:

     

     

    If you checked "Other" in the Member Society List, please, state which: