Stigma-Free Speakers Training Workshop Application

Are you a Coast Mental Health Peer Support Worker?*
- Yes
- No
Coast Mental Health Peer Support Workers are a priority for the Stigma-Free Speakers Training. You will be put on a wait list and contacted by October 5th if you are approved to attend.
Prescreening Required
In a paragraph, explain why you want to be a participant in the Stigma-Free Speakers training*
In a paragraph, explain what you hope to gain from this experience*
What skills/strengths do you feel you will contribute to the success of the day?*
Are you able to attend both dates?
- Yes
- No
Attending both dates is mandatory for participants for the speakers’ workshop except for special circumstances. Please email info@stigmafreezone.com to discuss your situation.

Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

There are two events for the Stigma-Free Speakers Training, which include the following:

1. Stigma-Free Speakers Training 'Meet and Greet' Luncheon

The Society will offer a 'Meet and Greet' luncheon prior to the Stigma-Free Speakers Training workshop, which is meant to provide personal connections with registrants with a series of ice-breakers and introductions.

Date: March 24th, 2018, Saturday @ 12pm - 1:30 pm
Location: Social Crust Café (formerly Café 335) 335 West Pender Street, Vancouver

2. Stigma-Free Speakers Training Workshop

Date: March 25th, 2018, Sunday @ 9:30am – 3:30 pm
Location: Pacific Coast Apartments, 337 West Pender Street, Vancouver
*Note: Please meet in the lobby of the Pacific Coast Apartments at 9:20am and sign in at the front desk.
Will you be attending the Stigma-Free Speakers Meet and Greet Luncheon?*
- Yes
- No
This luncheon is mandatory for participants for the speakers’ workshop except for special circumstances. Please email info@stigmafreezone.com to discuss your situation.

Prescreening Required