Further information about the program.
Are you 25 years old or younger? Yes / No
CCR member organization in your area:
[if you are not currently associated with a CCR member, we can help you connect with one]
Why are you interested in becoming a CCR regional promoter?
Which organizations, groups or networks are you involved with in your local community?
Are there particular skills, experiences and/or knowledge that you have that can help you in promoting CCR materials, activities and issues locally?
Are there particular skills, experiences and/or knowledge that you would like training in for your local promotion efforts?
Briefly describe some of your plans and strategies, as well as local opportunities or events that you could take advantage of to promote CCR materials, activities and issues.
Please submit this form by Friday, March 14th 2008 to firstname.lastname@example.org, or by fax at: 514-277-1447, 6839 Drolet #302, Montréal, QC, H2S 2T1