Please complete the registration form to join the Active Aging Canada Community of Practice. Keep in mind that the more information you provide, the easier it will be for other members to connect with you. This information will be visible to other members in the membership directory.

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About You

In which language(s) do you work? (This helps people find you in the Member Search section):* EnglishFrenchBoth

Salutation* Mr.Mrs.Miss.Ms.Dr.Prof.

First name*

Last name*

Email (also used to log in to CoP)*

Password (used to log in to CoP)*

Password confirm*

City*

Country* CanadaUSAOther

Province* AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewan

Research Gate (provide the full URL for your page)

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Twitter (provide the full URL for your page)

LinkedIn (Provide the full URL of your profile page)

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WHAT YOU DO

Current position /job title

Institution/organization

Department/faculty/school (if applicable)

In Which Sector(s) Do You Work (select all that apply)*

Acute care

CCAC

Community care

Education – professor/researcher

Education - student

Government

Health Promotion

LHIN

Long-term care

Non-Governmental Organization

Primary health

Public health

Research or evaluation

Rehabilitation

Retirement

Other

What is your role within your organization/institution (select all that apply)

Direct care/services to older adults (e.g. program facilitator, nursign, health education)

Policy development

Research or evaluation

Advocacy

Program development and support

Middle management (e.g. Manager, Director)

Upper management (e.g. Executive Director, CEO, Medical Officer of Health)

Area(s) of Research Specialization as it relates to aging (if applicable)

Behaviour Change

Chronic Conditions

Education / Professional Development

Exercise biochemistry

Exercise physiology

Falls

Fitness

Health

Knowledge Translation

Physical Activity

Psychomotor learning

Sedentary Behaviour

Sport psychology

Other role

Area(s) of expertise (if applicable)

Dementia

Grant Writing

Government Relations

Health Promotion

Home Safety

Knowledge Transfer & Exchange

Public Speaking

Research

Stakeholder Engagement

Other

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Should you have any questions regarding the registration or the new Community of Practice, please contact cop@activeagingcanada.ca.

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