Regional Workshop Follow-Up Form

Regional Workshop Follow-up Form [NEW]

If you are human, leave this field blank.

Name of Workshop *

Location of Workshop *

Date(s) of Workshop *

Coordinator name(s) *

You can enter more than one name. Please separate names with commas.

Contact phone number *

Fax number

Email address *

Mailing address *

City or Town *

Province

Postal code *

Evaluation of the Workshop

Evaluate the objectives and benefits derived from the workshop, considering inclusivity and diversity.

Youth (19 & under) *

Adult (20-54)

Seniors (55+)

Total Participants

Number of Volunteers

Approximate Volunteer Hours

Number of Instructors

Number of Support Workers

Total Program/Service Participants

Self-declared Indigenous

Self-declared New Canadians

Was there a public performance?

yes

Approximate number of people in attendance

Cities/Towns in Participation

Please enter one place name per line.