November 24 – 26, 2017
Vancouver Airport Marriott Richmond BC
By completing this application I am aware of, understand and agree to, the Financial Guidelines, the Code of Conduct and the Release of Liability and wish to submit this application to attend the PAN/OAN/COCQ-SIDA Positive Leadership Development Institute –Communications Skills Training. By signing this application, I acknowledge that PAN collects and shares data, excluding names and contact information, with our funders. PAN works to protect your right to privacy, if you have any questions about how this data is used, please contact Jaydee Cossar [email protected]
Please provide a valid mailing address and email to ensure safe and confidential delivery of materials. All surface mailings will be sent in a plain envelope – NO HIV/AIDS designation or logo will be used. Please note: Incomplete applications will not be reviewed, please ensure that you have fully completed the application.
Applications Due: Wednesday October 25th @ 4:00pm
Note: Any question marked with a * requires a response