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To submit a proposal for a workshop, please complete the form below. Workshop submissions are due by Monday, June 6 2016 (11:59pm MST). If you have questions about the workshops or the submission process, please e-mail abstracts@casch.ca

workshop submission form

* Indicates required field

Workshop title (max 20 words): *

List up to four workshop facilitators (first name, last name, credentials, affiliations, workshop role - e.g. second facilitator). Please clearly identify lead facilitator(s) with an asterisk: *

Describe three learning objectives anticipated from your session. *

If this is an intermediate or advanced workshop, what prerequisite knowledge or skills do the attendees require to fully participate? *

Briefly describe your background in the workshop subject matter. *

Workshop abstract

Max. 150 words; submitted in English. Briefly describe your workshop. This abstract will be printed in the online/paper program if your abstract is accepted. Note: Abstract should be written for a lay audience. *

Provide a brief agenda for your workshop, identifying both subject matter and method of delivery (please be sure to include interactive learning strategies). *

Conference theme that best describes the workshop: *

Building Healthy Communities and Populations Studying Disease Trends Exploring Pathways to Equity Trending Health Services and Policy Research

Desired room set up *

Small groups 'U' shape Large circle Lecture style

Other comments regarding set up: *

Please indicate if there is a maximum number of participants for your workshop: *

Audio-visual needs: *

Laptop LCD projector Flip Chart and markers

Contact information for submitting author:

Institution *

Department *

Address *

E-mail *

Phone *

Contact information for lead workshop facilitator (if different from above):

Institution *

Department *

Address *

E-mail *

Phone *

As the first AUTHOR of this abstract, on behalf of all the authors, I hereby give permission to the Planning Committee to reprint this information either in the conference brochure or to be available online: *

Please check box

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