2015 COLLABORATIVE
LEARNING INSTITUTE IN EVALUATION
2015 Focus: Multi-Component Strategy & Organizational Evaluations
October 27 - 30, 2015
Homewood Suites Waterloo/St. Jacobs
45 Benjamin Road, Waterloo, ON
Registration Form
Space is limited. Register by email by Friday, October 9th, 2015.
Cheques for fees may follow later in the mail.
Email your completed forms to: Lisa Stockton at lstockto@uwaterloo.ca
or print and fax to: (519) 746-8171.
INSTITUTE DATES, TIMES & TOPICS
Tues., October 27th
Wed., October 28th
Thurs., October 29th
Fri., October 30th
10:00 am - 4:30 pm
8:30 am - 4:30 pm
8:30 am - 4:30 pm
8:30 am - 3:00 pm
Evaluation planning
Process evaluation design & methods
Outcome evaluation design & methods
Evaluation implementation & use
PARTICIPANT INFORMATION
Name:
Position:
Institution/ Affiliation:
Department:
Address:
Telephone: (
)
ext.
Email:
City:
Province:
Postal Code:
PRE-MEETING PACKAGE
A pre-meeting package will be sent to the email address given above at least one week before
the institute. If you would like a different email address used, please provide it here:
INDIVIDUAL REQUESTS
Dietary Restrictions:
Accessibility Concerns:
No special requests
REGISTRATION FEES - Fees include all course materials, lunch & refreshments for four days.
1. Please select the fee for which you qualify:
Regular Rate - $800 ($707.96 + HST) per person
Group Rate – $500 ($442.48 + HST) per person
Reduced rate for organization/project with three or more individuals attending.
Please list other participants attending from your organization/ project team
Small Community Organization Rate - $500 ($442.48 + HST) per person
Reduced rate for small community organizations
Student Rate - $250 ($221.24 + HST) per person –
Please list your program and year:
2. Please make the cheque payable to:
University of Waterloo
3. Mail the cheque to:
2015 Collaborative Learning Institute in Evaluation
c/o Darla Steinmann,
Propel Centre for Population Health Impact
University of Waterloo
Tech Town, Room 2324
200 University Avenue West
Waterloo, ON N2L 3G1
EVALUATION CASE EXAMPLE
The focus for 2015 institute will be on strategy and organizational level evaluations, rather than
evaluation of individual programs.
Teams will have the opportunity to identify a specific evaluation to work on. Other individual
participants may learn from these examples and can apply principles and lessons to their own
work, and/or may bring case examples of their own. Projects should be emerging or in progress.
I will learn from other’s case examples
I/my team will bring a case example
Please attach a brief description (up to one page) of the specific evaluation that you or
your team will work on during the Institute that includes:



Title and brief description of the evaluation case example (including project goals,
major components, audience(s), key stakeholders, timelines, team members)
Current status of project planning and evaluation (include logic model if available)
Key planning and evaluation questions and needs
Please note: We will follow-up for additional details on examples closer to the institute.
ACCOMMODATIONS
We have reserved a block of rooms until Friday, October 9th for the Learning Institute at:
Homewood Suites Waterloo/St. Jacobs
45 Benjamin Road
Waterloo, ON N2V 2G8
(519) 514-0088
Rates for the Learning Institute participants:
 $139 + HST/night - Studio King Suite
Amenities include:
 Non-smoking hotel
 Spacious studios with fully equipped kitchens
 Complimentary daily hot breakfast
 Complimentary reception featuring a light meal and beverages Monday – Thursday
evenings
 Complimentary in-suite high speed internet access
 Free parking
 Optional grocery shopping service can be purchased
RESERVATIONS
To reserve a room by phone, call the hotel directly at (519) 514-0088 or toll free1-844-204-8627
To reserve a room on-line, go to http://tinyurl.com/nmwzcnf
NOTE: The room block will be held until Friday, October 9th.
FOR MORE INFORMATION:
If you require further information about the Learning Institute, registration or other details, please
contact:
Darla Steinmann, dsteinma@uwaterloo.ca 519-888-4567 ext 37068
or
Lisa Stockton, lstockto@uwaterloo.ca, 519-888-4567 ext. 84583