ACADEMIC AFFILIATE FORM Disclaimer Individuals representing a school or institution who are interested in the AESA Academic Affiliate Program are welcome to engage in a conversation with AESA prior to formally enrolling. AESA will support you in your efforts in receiving formal approval from your school or institution. I Understand Contact Information Name * First Name Last Name Pronouns * Email * City/Town Additional Information School/Institution Name * School/Insitution Role * School/Institution Jurisdiction * Ex: Edmonton Public School District, Calgary Catholic School District, etc School/Institution Level of Education Post Secondary High School High School & Junior High Other General Comments Tell us a little bit about yourself! Do you have any active gaming programs already? What goals and objectives can we help you with? Any other questions? Disclaimers and Consent Consent to Collection of Information * I consent to my information being stored by AESA for a period of 12 months. After 12 months, I will have to apply again should I want to apply as an Academic Affiliate with AESA. I agree Thank you for submitting your Affiliate Academic Form! We are excited to welcome you into our network of schools and institutions who are passionate about offering their students an inclusive opportunity to experience community and mastery through esports.We have put your form on file, and we will contact you as soon as possible. If you have any questions about your form, please email us at contact@esportsalberta.ca
