360 AccessibilityOctober 30th, 2024Name(Required) First Last Email(Required) Organization/Company(Required)Will you be attending virtually or in-person?(Required) Virtually In-personIn what area of the province are you located?(Required)Eastern Region (Cape Breton, Guysborough, and Antigonish areas)Western Region (Annapolis Valley, South Shore and South West areas)Northern Region (Colchester East Hants, Cumberland and Pictou areas)Central Region (Halifax area, Eastern Shore and West Hants areas)Out of provinceDo you identify as someone with lived experience? (someone Deaf, neurodivergent, and/or a person with a disability)?(Required)YesNoPrefer not to answerWhat is your gender identity? What gender would you identify yourself as? Check all that apply.(Required) Woman Man Two-Spirit Cisgender Non-binary Transgender/Trans Genderqueer Non-conforming Prefer not to sayWhat is your racial origin/lineage? What race would you identify yourself as? Check all that apply.(Required) Black (African, African Canadian, Afro-Carribean descent) East Asian (Chinese, Japanese, Korean, Taiwanese descent) Indigenous (First Nations, Inuk/Inuit, Metis descent) Latin American (Hispanic or Latin American descent) Middle Eastern (Arab, Persian, West Asian descent (e.g. Afghan, Egyptian, Iranian, Kurdish, Lebanese, Turkish) South Asian (South Asian descent (e.g. Bangladeshi, Indian, Indo-Caribbean, Pakistani, Sri Lankan) Southeast Asian (Cambodian, Filipino, Indonesian, Thai, Vietnamese, or other Southeast Asian descent) White (European descent) Prefer not to answerDo you have any accessibility needs for this event?We are including the following accessibility features at the event:Auto generated captions, materials sent in advance, quiet room (calm sensory space), gender neutral washrooms, fidget toys, directional signage.American Sign Language (ASL) interpreters and/or CART (Communication Access Realtime Translation) will be made available when requested at least two weeks in advance.Is there anything we can do to make this a safer learning evironment?Please let us know if you have any dietary requirements.
