(SHORE) Easy Evaluation workshops

Please fill in one form per person

Please select the date and location you will attend









Name
Organisation
Address

City

Postcode

Phone number

Fax number

Email address


Which ethnic group/s do you identify with?

Please describe the public health focus of your organisation (e.g., targeting communities, groups and environments rather than the delivery of personal health services)

Please describe your job role

Email Address

Massey Contact CentreMon - Fri 8:30am to 5:00pm0800 MASSEY (+64 6 350 5701)TXT 5222contact@massey.ac.nzWeb chatMyMasseyStaffAlumniNewsMāori @ Massey