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Program Debrief Form
For Employee Use Only
Please complete the form below to the best of your ability.
Contact Us
Name
First
Last
Email
Name of Program/ Retreat
Program Category
Multi Day, over night Retreat
Internship
Multi Day Retreat (no over night)
Half Day Workshop
Academic Support Program
Camp
CYC Event
Which Grant(s) does this program fall under?
(Required)
Riverstone Grow Grant
Trillium
YESS
CANCODE
Service Corps
NSERC
Other
If you selected "Other" please specify which the program falls under grant below.
How many participants took part in the program?
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Start Time
Hours
:
Minutes
AM
PM
End Time
Hours
:
Minutes
AM
PM
Agenda / Planning tools
Drop files here or
Select files
Max. file size: 300 MB.
Please upload the agenda and other tools you used for planning and running the program.
Program Description / Summary
Please list any equipment, tools and supplies that were used to run the program.
Add
Remove
Notes on equipment / tools
Partners (Contractors) engaged & Feedback
Please list any partners or contractors that you worked with on this project and your comments on working with them.
Describe the program strengths
What went well? What should we expand upon, keep, repeat in future programs.
Describe the program weaknesses
What went poorly?
What feedback did you receive from participants?
How much time did you expect it to take you to prepare for the program?
Actual time to prepare
How prepared did you feel for the program?
Very prepared
Somewhat prepared
Under prepared
Explain your answer.
What would you do to improve the program in the future?
Please upload photos from the program
Drop files here or
Select files
Max. file size: 300 MB.
Provide a caption and context to the photos you provided.
Ensure photos you add are cleared for posting and sharing and that photo consent was received.
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