Mental Health and Wellness w/ Sarah Juma

We want to make sure that these sessions are co-created with the people who will be joining them. That is why we ask all participants to respond to this short form in order to register. 

If you have any doubts or questions you can reach out to our team via email healthycommunities@canurb.org 

We look forward to seeing you on the 25th of April!

Completing the form will take you 5-7 minutes

Sign in to Google to save your progress. Learn more
Name and Surname *
Email Address *
Organization Name *
Role/Title *
Website
The meeting will be held on Zoom. Are there any accessibility considerations that we should know about to facilitate your full engagement?
What topics would you like to touch on? Select as many as apply: *
What would you like to get from this experience? Select as many as many as apply:
*
Required
Are there any other topics or experiences that you would be interested in exploring with the group?
In what field does your organization work?  Use the option 'other' if none of the categories proposed apply for your organization/project:

Is there anything else that you would like to share with the organizing team?

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy