Reframing Relations - Workshop Request Form

Reframing Relations - Workshop Request Form
Thank you for your interest in the Reframing Relations program! Please note that by submitting this form your workshop request is pending and is not yet confirmed. We will review your request and reach out via email within a week to discuss your request. In the meantime, if you have any questions or if you would like to change any information provided in this form, please contact Program Manager, Shannon Goodman, at shannon@cacv.ca.
CONTACT INFORMATION
Contact Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Alt. Phone Number

Area CodePhone Number
Email*
Sam@example.com
Organization/School Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
WORKSHOP INFORMATION
How many people will be attending this workshop?*
What dates and times are you able to host workshops? (If possible, please select a couple options so there is a higher chance facilitators are available for your request) Date Option 1:*
Date Option 2:
Date Option 3:
Are you interested in an in-person or online workshop?:*

In personOnlineOther
If you selected “online”, please provide the platform you will be using.

ZoomGoogle MeetSkypeWebExOther
If you selected "in-person", what is your COVID-19 policy? Do you require attendees, visiting speakers, etc. to be vaccinated?:
Are there any accessibility requirements your attendees have that we can help to accommodate in this workshop?:*
Are there any particular topics you would like the facilitators to incorporate into the workshop?:*
Please provide a short description of your attendees and their current level of understanding of the history, culture, and issues faced by Indigenous peoples in Canada (this allows our facilitators to modify the workshop to fit your needs):*
Please provide any additional special requests, questions, or comments:
CACV is dedicated to provide access to programming, should you need financial assistance (eg. bursary) to host a workshop, please let us know.
Should be Empty:

Reframing Relations - Workshop Request Form

CONTACT INFORMATION

WORKSHOP INFORMATION