Exit this survey IPC Facilitators 2016 Question Title * 1. I would like to participate in the UTCSP-IPC and understand its commitments Yes No Question Title * 2. I have facilitated in the UTCSP-IPC before No Yes. Please indicate how many years you have facilitated in the IPC Question Title * 3. Last Name Question Title * 4. First Name Question Title * 5. Profession Question Title * 6. Degrees Question Title * 7. Practice Site Question Title * 8. Title/Position at the University of Toronto Question Title * 9. E-mail Address Question Title * 10. Office Telephone/Voicemail Question Title * 11. Would you like to be considered for a “lead” facilitator role this year (students will be in groups of 30, with 2 or 3 facilitators—one designated as “lead”)? Yes No Either role will be fine Question Title * 12. UTOR-ID number for BlackBoard and online library access Question Title * 13. Facilitator Training Workshop/Session Online Workshop for New Facilitators Breakfast Briefing: March 8, 2016, 7:45 am to 8:45 am (for returnees only), 89 Chestnut Street Question Title * 14. Please let us know if you have any dietary restrictions Question Title * 15. Comments Done