MODERATOR APPLICATION FORM – Student Research Symposium

Moderator Signup Form

Thank you for your interest in being a moderator for the 2024 Student Research Symposium! Moderators are key to running smooth and impactful panels, and we look forward to working with you. The moderator role is only open to Capilano University faculty members.

First Name*
Last Name*
Email Address:*
Department*
Availability*
We hope that you can join us for two student panels on April 19, 2024. Please select the time of day that best suits your schedule. If you select both “Morning” and “Afternoon,” we will make sure that the panels you are chairing are following each other. If you are only available for a short window of time, please specify this by selecting the “Other” option and providing details below.
- Morning (9:00 am – 12:00 pm)
- Afternoon (12:00 pm – 3:00 pm)
- Other
Availability Details
Will you be joining us for Lunch on the day of the symposium?
If so, do you have any dietary restrictions? (Gluten-Free, Vegan, Allergies)
Consent to NOT take photos*
Please type your name to confirm you will NOT be taking photos during the presentations