Regional Workshop Follow-Up Form Member Funding » Regional Workshops » Follow-up Form Regional Workshop Follow-Up Form Regional Workshop Follow-up Form [NEW] If you are human, leave this field blank. Basic Workshop Information Name of Workshop * Location of Workshop * Date(s) of Workshop * Workshop Contact Information 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 Saskatchewan Alberta British Columbia Manitoba New Brunswick Nova Scotia Newfoundland & Labrador Northwest Territories Ontario Quebec Postal code * Regional Workshop Additional Information Evaluation of the Workshop Evaluate the objectives and benefits derived from the workshop, considering inclusivity and diversity. Participation Data Participants Youth (19 & under) * Adult (20-54) Seniors (55+) Total Participants Staff/Volunteers Number of Volunteers Approximate Volunteer Hours Number of Instructors Number of Support Workers Total Program/Service Participants Diversity (approximate) Self-declared Indigenous Self-declared New Canadians Performances Was there a public performance? yes no Approximate number of people in attendance Geography Cities/Towns in Participation Please enter one place name per line. Next
