Register for the Rural Voices Gathering
Join virtually on November 20 & 27, 2024
Name
*
First Name
Last Name
Pronouns (if desired)
Email
*
Confirmation Email
example@example.com
Phone Number
Please enter a valid phone number.
I'm bringing the perspective of... (select all that apply)
*
Rural physician
Nurse practitioner
Nurse
Midwife
Emergency responder
Allied health professional
Shared care provider
Educator
Student
School district
Researcher
Health administrator
Community member
First Nation Community
First Nation Health Council
First Nation Chiefs and Council
Policy Maker
MLAs
Private sector business
Non-profit / society
Other
Job Title/ Role
Optional
Community Group / Organization Name
Community groups can include, but are not limited to, new or existing groups who share geography, interests, practice, circumstances and/or objectives.
Please select the communities/territories you live or work in (select all that apply):
If your community/city is not listed about, please let us know where you live or work:
RCCbc is looking for individuals interested in facilitating the in-person community discussions and/or the virtual, province-wide sessions. Facilitator training workshops will be hosted on several dates in October in Vancouver, with travel expenses reimbursed by RCCbc.
Are you interested in being a facilitator to help guide and shape these important conversations?
*
Yes - I'm interested in facilitating a community group
Yes - I'm interested in facilitating during the virtual sessions
No
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To make this event as accessible as possible, please let us know if you require any accommodations to participate:
How did you hear about this event?
Direct Invitation from RCCbc
RCCbc Newsletter
Past Participant
Word of Mouth
Social Media
Other
Are you comfortable having your name and contact information shared with other participants at this event?
*
Yes
No
Following the event, are you comfortable having your name shared publicly as a participant?
*
Yes
No
I agree to the privacy policy.
*
Yes
Newsletter
Yes, subscribe me to RCCbc's monthly newsletter.
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