2017 Kamloops Combining Our Strength Leadership Program-Expression of Interest

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33% of survey complete.

Question Title

* 1. Contact Information

Name *

Address *

Address 2

City/Town *

State/Province

ZIP/Postal Code *

Email Address

Phone Number *

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* 2. Indigenous Ancestry & Nation/Band (If Applicable):

First Nations

Metis

Inuit

Nation/Band

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* 3. Will you be able to attend the entire program? (Part 1 April 20th - 23rd) & (Part 2 May 4th-7th)

Yes

No

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* 4. Do you foresee any barriers that may keep you from fully participating in the program?

Yes

No

If Yes, what are the barriers?

Question Title

* 5. The Community Leadership Program is a project based program. Are you comfortable to work on a project for your community either alone, or in a group?

Yes

No