Screen Reader Mode Icon
This survey can take up to ten minutes of your time. We thank you in advance for completing and submitting the survey.

Privacy and Confidentiality: The British Columbia Institute of Technology (BCIT) collects personal information under Section 26 of the Freedom of Information and Protection of Privacy Act RSBC. 1996, c.165

Purpose: The information provided by you in response to the survey questions will be used to assess the current quality and effectiveness of its operating programs and activities as well provide insight on the existing and future needs of students of the Institute.

How Survey Data Collected Will Be Used: Any information that you provide by answering survey questions will be kept strictly confidential and survey results will be analyzed and reported to BCIT on aggregate basis (your responses will be combined with the responses of others) to protect your anonymity). Please do not provide any information that would identify who you are or identify another individual in response to any open-ended questions. Your participation in this online survey is voluntary and you may choose to answer as many questions as you wish, or stop at any time.

All survey data will be stored on secure servers within BCIT and in accordance with its established retention schedules.

Consent: By participating in this Student Mental Health & Well-Being Workshop Request Form, you consent to the collection, use and disclosure of your responses to the survey as described above.

If you have any questions about this survey, please contact Yuna Chen, Health Promotion Strategist, email yuna_chen@bcit.ca.

Questions about the collection, use and disclosure of personal information by BCIT may be directed to the BCIT Information Access and Privacy Office, email privacy@bcit.ca.

 

Question Title

* 1. Contact Information

Workshop Details

Question Title

* 2. Please indicate your requested workshop

Question Title

* 3. Intended Target Audience (choose all that apply)

Question Title

* 4. Anticipated number of participants

Question Title

* 5. We strive to facilitate inclusive, accessible workshops that enable all individuals to engage fully. Please let us know of any accessibility supports or requirements you or other attendees may need to participate.

Question Title

* 6. What is the main purpose of this workshop?

Question Title

* 7. What are your workshop intention(s) and outcome(s)? (i.e. what do you want the group experience to be, and what will the concrete result be?)

Date, Time, and Location

Question Title

* 8. Preferred Dates (MM/DD/YYYY) and Times (HH:MM)

Question Title

* 9. Location of workshop

Question Title

* 10. Additional Comments or Notes

Thank you for your time and input!
0 of 10 answered
 

T