Coproduce Care Livestream Take Over Survey

Coproduce Care would like to offer our livestream platform to those involved and/or working in social care. We will provide support and promotion. You just need to choose a topic, a colleague to chat with and time for the livestream. If you're interested and have an idea please fill out this form.

1.Your details(Required.)

Name

Company

Email Address

Phone Number

2.Would you like to lead a Coproduce Care - #CareUncut #TakeOver?(Required.)

Yes

3.What is the topic you want to discuss on the livestream?(Required.)

4.Are there any subtopics, links or other information on your main topic, you would like to let us know?

5.Who would you like to bring with you for the discussion. Please let us know their name and the organisation they work for or who they represent.
We would suggest 1 - 2 other people maximum(Required.)

6.Do you have a specific date in mind? If not, tell us roughly when you would like to do the takeover (e.g. Month). We like to hold them on a Wednesday evening from 7pm.(Required.)

7.Please confirm that you will be able to do the following:
- be available for a prep session
- be able to share the links for your session with your networks(Required.)

Yes

Thank you for this information. We will be in touch shortly to let you know whether we can accommodate your suggested take over. If you have any queries, please feel free to contact us: hi@coproducecare.com

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