Registration Form - Health In Common : Health In Common

1 Personal information

2 Payment Infomration

First Name*
Last Name*
Email*
Phone*
Organization
Role
Are you a prior HiC Trainee?
- Yes
- No
Sector
Select the workshops you want to register for:*
- Develop a Program Logic Model - DATE TBD (9 spots left)
- Develop a Program Evaluation Framework - DATE TBD (9 spots left)
Choose your rate:*
If COVID-19 is impacting your organization, we’re offering pandemic rates for online workshops if you register before August 31st. Please pay what you can.
- Workshop Rate ($50/each)
- Full Series Rate ($70 at $35/each)
- Pandemic Rate ($35/each)
Total
$ 0.00 CAD
Number
How many workshops did you register for?
Bundle
* Pricing for bundled courses will be at a discounted rate of $35/workshop.