Multicultural Health Workers National Gathering
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Call for Presenter's/Facilitator's Proposals
Please complete one form for each proposal. For any issues and assistance, please email rvelasquez@umbrellacoop.ca

Gathering theme: "Understanding the role of Multicultural Health Workers in Canada"

Submission deadline: We have extended our National Gathering application deadline to Friday, March 9th at 5:00 PM PST. We are looking forward to your submissions and we are grateful for those we’ve already received.
See more at our website - http://umbrellacoop.ca/mhwng

Decisions communicated by: Thursday, March 29th, 2018

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Contact Information
Applicant's First Name *
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Applicant's Last Name *
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Applicant's Job Title *
A MHW falls under the umbrella term of a Community Health Worker (CHW). Proposals from CHWs will be prioritized. CHWs can be cultural resource facilitators, community health brokers, multicultural health navigators, community navigators, cross-cultural health promoters, community outreach workers, peer educators, community health brokers, multicultural health brokers, cross cultural health brokers, peer leaders, diversity liaison workers and lay health educators.
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Organization's Name *
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Organization's Address *
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Phone *
Please provide the phone number where you can be reached during the day.
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Proposal Information
Presenter 1. First and Last Name *
If same as above, please write "same" in the box and skip to either Presenter 2 (if presenting as a group), or Proposal's title (if presenting individually).
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Presenter 1. Job Title *
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Presenter 1. Phone *
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Presenter 1. Email *
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Presenter 2. First and Last Name *
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Presenter 2. Job Title *
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Presenter 2. Phone *
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Presenter 2. Email *
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Presenter 3. First and Last Name *
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Presenter 3. Job Title *
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Presenter 3. Phone *
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Presenter 3. Email *
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Presenter 4. First and Last Name *
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Presenter 4. Job Title *
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Presenter 4. Phone *
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Presenter 4. Email *
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Proposal's Title *
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Proposal's Short Description *
1-2 sentences
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Proposal's Format *
This is your preferred format; please note we may ask you to present in a different format if accepted
Proposed language of proposal *
Proposal Description *
Please enter proposal text here. The description should outline the topic, roles of the facilitator(s) and how your session will engage the audience. How will you include anecdotal experience? Detail why your proposed session will be memorable, unique, and compelling. Why do you want to share your topic? Include learning objectives that detail what session participants will learn. (400 words)
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