EVENT REPORT FORM

I. Event Description

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* a. Date Held:

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* b. Name of Host Organisation(s)

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* c. Country

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* d. Full Name(s) and E-mail Address(es) of Contact Person(s) at Host Organisation(s)

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* e. Scope of Event

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* f. Cooperative Sectors Represented (check all that apply)

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* g. Themes and Topics Discussed

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* h. Event Modality

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* i. Number of Participants

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* j. Short Description of Event Activities

II. Event Outcomes

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* Please share the outcomes of the event including any reflections on the cooperative identity, calls to action and proposed future steps.

III. Final

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* a. My organization would like to continue its engagement with ICA-CIAG in the ongoing consultations on the cooperative identity.

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* b. Upload links, photographs and documents of the event

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* c. I accept the terms and conditions set out in the ICA GDPR policy

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