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Workshops and Events Registration Form

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How to use this form

Please select the workshop(s) you wish to attend. After you have completed this form and clicked Submit at the bottom of the page, you should be taken to a Thank You page. This means that your registration form has been received but not that your registration is confirmed. We will review your registration and send you an email if your registration is confirmed, placed on a waiting list or rejected.

If you do not see the Thank You page, your form has not been sent.
Please try again or contact us at hc.unit@utoronto.ca or (705) 327.0018.

Check the box next to the event below to register (you may register for more than one event at a time)

	Event Date & Title
	Planning Health Promotion Programs At a Glance September 16, 2010 1:30-2:45 PM Format: Webinar: At a Glance - Lecture Style Click for more details
	Policy Development At a Glance September 22, 2010 9:30-10:45 AM Format: Webinar: At a Glance - Lecture Style Click for more details
	Planning Health Promotion Programs September 23, 2010 9:30-11:30 AM Format: Webinar: Interactive Skill-Building Click for more details (Full event - Waiting List Registration Only)
	Orientation to The Online Health Program Planner September 23, 2010 2:00-3:30 PM Format: Webinar: At a Glance - Lecture Style Click for more details
	Orientation to The Online Health Program Planner October 06, 2010 10:00-11:30 AM Format: Webinar: At a Glance - Lecture Style Click for more details
	Policy Development October 12, 2010 1:30-3:30 PM Format: Webinar: Interactive Skill-Building Click for more details (Full event - Waiting List Registration Only)
	Evaluating Health Promotion Programs At a Glance October 14, 2010 1:30-2:45 PM Format: Webinar: At a Glance - Lecture Style Click for more details
	Evaluating Health Promotion Programs October 21, 2010 9:30-11:30 AM Format: Webinar: Interactive Skill-Building Click for more details (Full event - Waiting List Registration Only)
	Health Promotion 102 (Part I) November 04, 2010 9:30-11:30 AM Format: Webinar: Interactive Skill-Building
	Health Communication At a Glance November 04, 2010 1:30-2:45 PM Format: Webinar: At a Glance - Lecture Style
	Health Promotion 102 (Part II) November 11, 2010 9:30-11:30 AM Format: Webinar: Interactive Skill-Building
	Health Promotion 102 (Part III) November 18, 2010 9:30-11:30 AM Format: Webinar: Interactive Skill-Building
	Skills for Health Promotion Workshop (Day 1 of 2) October 05, 2010 9:00-4:00 PM Format: Face to face Event Click for more details
	Skills for Health Promotion Workshop (Day 2 of 2) October 06, 2010 9:00-4:00 PM Format: Face to face Event Click for more details
	Skills for Health Promotion Workshop (Day 1 of 2) November 16, 2010 9:00-4:00 PM Format: Face to face Event Click for more details (Full event - Waiting List Registration Only)
	Skills for Health Promotion Workshop (Day 2 of 2) November 17, 2010 9:00-4:00 PM Format: Face to face Event Click for more details (Full event - Waiting List Registration Only)

Registration Information

First Name	(required)
Last Name	(required)
Organization
Job Title
Address	(required)
City	(required)
Province
Postal Code
Telephone	(required)
Tel. Extension
Fax
Email	(required) All event information will be sent via email.
Include my contact information on the participant list	Yes   No
What type of organization are you representing?     Board of Health, Health Unit or Department Community Coalition - Focus Community Coalition - Heart Health Community Coalition - Other OHPRS Member Provincial Resource Centre - Other Community Health Centre NGO / Voluntary Group Government - Local Government - Provincial Government - Federal Hospital Medical Organization - Other Workplace Schoolboard District Health Council CCAC Post Secondary Staff Post Secondary Faculty Student Freelance Other
NOTE: Due to funding restrictions, registration priority will be given to health promoters currently working with Ontario-focused organizations. All others will be placed on a waiting list and notified if space becomes available. There is one exception to this rule - For our Orientation to the Online Health Program Planner Webinars, we can accept registrants from across Canada. If you have a question about your eligibility for this workshop, please contact us at hc.unit@utoronto.ca or (705) 327.0018
Please identify your Ministry of Health Promotion region. East Toronto Central South Central West North Central East South West Don't Know Other Out of Ontario Out of Canada

Please enter the six characters you see in the image above. (This is to prevent automated spammers from registering for a workshop)

NOTE: We collect the information on this form for administrative and reporting purposes. None of your information is shared with or accessible to anyone other than THCU and our funders.

If you have any questions about our privacy policy, please let us know at hc.unit@utoronto.ca or (705) 327.0018.

 

If you have questions or comments please contact
Patty Staring at hc.unit@utoronto.ca or call (705) 327.0018