Application: PLDI Core Training October 2019

 

Training dates: October 31 – November 3, 2019

Training Location: Loon Lake, BC

Deadline for application is Monday September 23, at 4  PM. Applicants will be advised of their status by Friday September 27.

Before completing this application to attend, please review the training information page and the Code of Conduct and Financial Guidelines.

“No Show” Policy

We hope that there is enough commitment to this training that we will not have any “no shows”. At the same time, we want to stress that at present, we only have the resources to provide this training to a very limited number of PLHIV. We have finite and limited resources to make this training a reality. If you must cancel, we ask you give PAN five business days’ notice. Deadline to withdraw is October 23 at 4 PM. 

For more information, please contact [email protected] (Stacy Leblanc)

  • General Information

    This information is collected to help ensure diversity of participants at the training and for program reporting purposes (Names will not be associated with the information reported):
  • Your Profile

    Please answer ALL of the following questions to help us support your involvement in the training. We expect there to be more applications than space available. Please make sure your responses are complete.
  • Emergency Contact Information

    The following information is required in case of an emergency:
  • Please note: your Emergency Contact cannot be a support worker, Executive Director, or Health Care provider. In cases of emergency Pacific AIDS Network must easily be able to reach the person you have listed, DAY or NIGHT. Emergency contacts should be reserved for family and close friends. If you have questions please contact [email protected] (Stacy Leblanc).
  • Please list any medical conditions or medications we should be aware of
  • Confirmation

    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 – Core Training.
  • Once you have successfully submitted your form, you will be redirected to the PLDI training information page.