Virtual Family Summit

Attendee Registration Form

Are you interested in receiving updates and notifications about future events or related content?

1. With which of the following do you identify? Please select all that apply:

Check all that apply

Regular Force

Primary Reserve Class A

Primary Reserve Class B or C

For how long have you served with the Canadian Armed Forces Regular Force?

For how long have you served with the Canadian Armed Forces Reserve Class A?

For how long have you served with the Canadian Armed Forces Reserve Class B or C?

Which element

Royal Canadian Navy

Canadian Army

Royal Canadian Airforce

Canadian Special Operations Forces Command (CANSOFCOM)

Canadian Rangers

Cadet Organization Administration and Training Service (COATS)

Check all that apply

Full time

Auxiliary

For how long have you served with the Royal Canadian Mounted Police (Full Time)?

For how long have you served with the Royal Canadian Mounted Police (Auxiliary)?

Check all that apply

Are you a VAC-approved provider?

Yes

Unsure

2. Please indicate your organizational affiliation*:

Each day, we will have two simultaneous sessions: one presented in English and one presented in French.

Please choose your session for Day 1:

A1: Exploring and navigating unspoken grief in Veteran Families

A2: A life punctuated by grief (presented in French with Simultaneous Interpretation into English)

Please choose your session for Day 2:

B1: When close connection feels far away

B2: Life in the shadows of the uniform: An often forgotten family identity (presented in French with Simultaneous Interpretation into English)

How did you hear about this event?

What do you hope to learn by attending the Family Summit?

I'd like to keep my question anonymous

The Atlas Institute is committed to providing an accessible environment in which all individuals have access to our events. Please specify what supports would help you to participate in our event and we will do our very best to accommodate them.

PART TWO: DEMOGRAPHIC INFORMATION

The following are optional demographic questions. You can answer all, some, or none. The purpose of asking these questions is to better understand who is attending our events, so that we can reach an equitable representation of military and RCMP Veterans and their Families, and to tailor our offerings to better serve our audiences and stakeholders. Aggregated survey results may also be shared with Veterans Affairs Canada as part of our reporting requirements however, your individual responses to these questions are completely confidential. The survey should take approximately 5 to 10 minutes to complete.

If you would like to share demographic details about yourself, choose “Continue”. If you are ready to complete your registration, choose “No” and submit the form. Your participation is greatly appreciated!

In which province/territory are you located?

In what type of community do you live most of the time*?

Do you prefer to access knowledge resources in English or French?

English

French

With which ethnic or racial origins do you identify? Please select all that apply.

With which gender(s) do you identify? Please select all that apply.

What is the highest degree or level of school that you have completed?

Is there anything else you'd like us to know?