CRSN / RRAVCC - CRSN / RRAVCC

CRSN Regional Education Proposal

To suggest an event, workshop, or webinar for the upcoming Fiscal Year 2024-25, please fill out the following form with as much detail as possible. Please respond by Thursday, February 29, 2024.

Requests should be based on current stroke best practice recommendations and should be relevant to our region. Submissions will be reviewed and considered by the CRSN team during the annual stroke education planning meeting. You will receive notification of the decision in late April or early May.

Event Details

Topic or name of event*

Please supply a name or title to refer to your proposal with.

Description of Event*

Please enter a description of the event or program

Please provide a short description of the event topic. Include suggestions of guest speakers/ knowledge experts, or any other details you think would help CSRN to make their decision.

Reasons for Consideration*

Please enter a description of the event or program

Explain the value of the event for the region and reasons why this request should be supported.

# of Attendees expected

Please enter a description of the event or program

Please estimate the number of people expected to benefit from the event

Estimated cost if any

Please enter a description of the event or program

Supply an estimated total cost in Canadian currency for the proposed event if known.

What format and estimated duration would you suggest for this event?

Please enter your suggested format for the event or program

Suggest a format and estimated duration for this event. Is it a webinar, half-day workshop, full day workshop, or module? Should it be virtual or in person?

What time of day would you suggest?

Please enter your suggested format for the event or program

Would you suggest a morning, lunch, afternoon, or off-work hours for this event?)

Upload files

If you wish, you may upload supporting documents (up to a maximum of 2 MB)

Requestor information

Name*

Please fill in your usual or full name

Email Address*

Please supply your email address

^{Enter email of person making program suggestion}

Other Contact information

Please fill in your phone number or email address

Phone number or other contact info to allow us to contact you should we have further questions.

Submission of Request

By clicking on the submit button below, your request will be sent to the CRSN for consideration

Click to submit request

CRSN Regional Education Proposal

Please supply a name or title to refer to your proposal with.

Please enter a description of the event or program

Please enter a description of the event or program

Please enter a description of the event or program

Please enter a description of the event or program

Please enter your suggested format for the event or program

Please enter your suggested format for the event or program

Please fill in your usual or full name

Please supply your email address

Please fill in your phone number or email address

What's New

Contact Us

Champlain Regional Stroke Network

Phone:

Stroke Prevention Clinic Phone:

CRSN Regional Education Proposal

Please supply a name or title to refer to your proposal with.

Please enter a description of the event or program

Please enter a description of the event or program

Please enter a description of the event or program

Please enter a description of the event or program

Please enter your suggested format for the event or program

Please enter your suggested format for the event or program

Please fill in your usual or full name

Please supply your email address

Please fill in your phone number or email address

What's New

Contact Us

Champlain Regional Stroke Network

Phone:

Stroke Prevention Clinic Phone:

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