Interlake Eastern RHA Prairie Mountain Health Northern RHA Southern RHA Winnipeg RHA Would you be willing to travel outside of your own RHA to deliver training, if needed? Yes No Not sure Please indicate how much experience you have with the following (circle the number that best applies to you): Providing presentations: Unfamiliar Small Large Small Proven group of group group presentation known known unknown skills, diverse staff staff staff audience 1 2 3 4 5 6 7 8 9 10 Leading Training Sessions: Unfamiliar 1 person Multiple Group Proven trainer on the job people on classroom training the job training 1 2 3 4 5 6 7 8 9 10 Facilitating Interactive Group Exercises and Group Discussion: Unfamiliar Small Large Small Proven group of group group presentation known known unknown skills, diverse staff staff staff audience 1 2 3 4 5 6 7 8 9 10 Providing Tobacco Counselling to Individuals: Unfamiliar Brief Multi-session Extensive up interventions, experience with of 1-5 to 30 or multi-session minutes minutes interventions interventions up to 1 hour 1 2 3 4 5 6 7 8 9 10 Providing Tobacco Counselling or Education to Groups:
Interlake Eastern RHA Prairie Mountain Health Northern RHA Southern RHA Winnipeg RHA Would you be willing to travel outside of your own RHA to deliver training, if needed? Yes No Not sure Please indicate how much experience you have with the following (circle the number that best applies to you): Providing presentations: Unfamiliar Small group of known staff Large group known staff Small group unknown staff Proven presentation skills, diverse audience 1 2 3 4 5 6 7 8 9 10 Leading Training Sessions: Unfamiliar 1 person on the job training Multiple people on the job training Group classroom Proven trainer 1 2 3 4 5 6 7 8 9 10 Facilitating Interactive Group Exercises and Group Discussion: Unfamiliar Small group of known staff Large group known staff Small group unknown staff Proven presentation skills, diverse audience 1 2 3 4 5 6 7 8 9 10 Providing Tobacco Counselling to Individuals: Unfamiliar Brief of 1-5 minutes up to 30 minutes Multi-session interventions, or interventions up to 1 hour Extensive experience with multi-session interventions 1 2 3 4 5 6 7 8 9 10 Providing Tobacco Counselling or Education to Groups:
3.-train-expression-of-interest-form.docx