Engagement Request Form - FireSmart Alberta

1. Engagement Audience

Who is requesting this engagement? *

Community or public event organizer
Municipal council, Indigenous leadership or community leadership
Professional, industry or partner organization

2. Type of Engagement

What type of engagement are you requesting? *

Event booth or public outreach
Community presentation or webinar
Workshop or information session
Other

Select all that apply.

If other, please describe:

3. Engagement Objectives

What would you like participants to learn, discuss or do as a result of this engagement? *

Which topics are you most interested in? *

Home and property wildfire mitigation
FireSmart principles and programs
Neighbourhood or community preparedness
Wildfire risk and shared responsibility
Community wildfire resilience
FireSmart resources and available tools
Other

Select all that apply.

Please describe any specific questions, local concerns or topics you would like addressed: *

4. Intended Participants

Who is expected to attend? *

Estimated number of participants *

Is this engagement open to the general public? *

Yes
No
To be determined

other, you most

2. Type of Engagement

What type of engagement are you requesting? *

Council or leadership briefing
Presentation or webinar
Workshop or facilitated discussion
Other

Select all that apply.

If other, please describe:

3. Engagement Objectives

What decision, initiative or discussion will this engagement support? *

Which topics would you like the engagement to address? *

Roles and responsibilities for wildfire mitigation
FireSmart governance and leadership
Community wildfire risk and resilience
Municipal or community planning
Wildfire-mitigation policies and programs
Public education and community engagement
Home, neighbourhood and community-scale mitigation
Landscape-level wildfire mitigation
FireSmart funding, tools or available supports
Other

Select all that apply.

Please describe the local context, current initiative or issue that should inform the engagement: *

4. Intended Participants

Which council, leadership group or organization will participate? *

Who is expected to attend? *

For example: elected officials, senior administrators, emergency management staff, planners, fire-service leaders or community representatives.

Estimated number of participants: *

Is the session open to the public? *

Yes
No
To be determined

2. Type of Engagement

What type of participation are you requesting from FireSmart Alberta? *

Conference or event presentation
Panel discussion
Webinar
Workshop or facilitated session
Trade show or exhibitor booth
Information table or public outreach display
Opening remarks or event welcome
Other

Select all that apply.

If other, please describe:

3. Event and Engagement Objectives

What is the purpose or theme of the event? *

What would you like FireSmart Alberta to contribute? *

Which topics would you like addressed? *

FireSmart principles and programs
Alberta’s approach to wildfire mitigation
Community wildfire resilience
Home and property wildfire mitigation
Municipal planning and policy
Wildfire-mitigation governance
Public education and behaviour change
Partnerships and shared responsibility
Industry-specific wildfire considerations
Other

Select all that apply.

Is FireSmart Alberta being asked to deliver a specific presentation or develop new content for this event?

Deliver an existing presentation
Adapt an existing presentation
Develop event-specific content
Participate in a panel or moderated discussion
Provide a trade show or outreach presence
Not yet determined

Select all that apply.

4. Organization and Audience

Name of requesting organization: *

Organization type: *

Who is the intended audience? *

Estimated number of attendees: *

Is attendance restricted to members or invited participants? *

Yes
No
Partially
To be determined

Will registration fees be charged?

Yes
No
To be determined

5. Speaker or Exhibitor Requirements

Requested presentation length: *

Will there be a question-and-answer period? *

Yes
No
To be determined
Not applicable

For trade show or exhibitor requests, what will be provided? *

Exhibitor table
Chairs
Display space
Electricity
Internet access
Pipe and drape
Exhibitor passes
Shipping or material-storage support
None of the above
Not applicable

Select all that apply.

Are speaker travel, accommodation or registration expenses covered by the organizer? *

Yes
No
Partially
To be determined
Not applicable

Please describe any speaker, exhibitor or event requirements: *