Active Choices Leader Resources
Workshop material below is for CCDPH Partners only.
Upon workshop completion, email attendance sheet to joan.fox@ageoptions.org
If you will NOT be entering class participant data, and participants are NOT using electronic forms, email the completed participant forms to joan.fox@ageotions.org
Course Materials for Leaders
Data Collection Checklist- Coming Soon! Instructions for data collection from registration to last session
Attendance Sheet- Excel Document- Coming Soon!
Attendance Sheet- Printable Form- Coming Soon!
Session 1 Data Collection Script- To be read aloud to participants during Session 1
Session 1 Virtual Data Collection Script- To be read aloud to participants during Session 1
Photo Media Release- This form is optional; to be used if collecting testimonials or taking pictures. Feel free to edit to add your organization's information English - Spanish
Forms for Participants
Participants can choose one of the following options when completing paperwork:
- Complete a paper form or fillable PDF
- Receive a link to complete an electronic form (through Microsoft Forms)
- Register for a participant portal on the IL Pathways website and complete forms directly in the portal
Note: If you choose to you use Microsoft Forms, the surveys are submitted directly to AgeOptions. AgeOptions will complete the data entry.
Session 1 Participant Registration Forms and Pre-Survey
Option 1:
- Printable/Fillable Participant Registration Packet- English - Spanish
- Printable/Fillable Participant Pre-Survey- English - Spanish - Arabic - Gujarati - Hindi - Urdu
Option 2:
- Link to Electronic Participant Registration Packet and Pre-Survey- https://forms.office.com/r/ynxkc9xuUj
- Link to Spanish Electronic Participant Registration Packet and Pre-Survey- https://forms.office.com/r/SzLZWEZ1ad
- Participant Guide for ILPTH Portal- Instructions that can be sent to participants for completing electronic forms on the ILPTH participant portal
Last Session Forms
Option 1:
Option 2:
- Link to Electronic Participant Post Survey- https://forms.office.com/r/xXE55VpSgY
- Link to Spanish Electronic Participant Post Survey- https://forms.office.com/r/VdEkDwa9z9
Option 3:
- Participant Guide for ILPTH Portal- Instructions that can be sent to participants for completing electronic forms on the ILPTH participant portal (These are the same instructions that are available above for completing Session 1 forms)
Links and Other Materials
Zoom Instructions- (Provided by Rush) For online workshops English - Spanish
Individual forms included in Participant Registration Packet- Registration Form, Privacy Policy, and Liability Waiver
Marketing Materials
ILPTH Outreach Toolkit Template- This Toolkit includes templates for flyers, posters, social media posts, etc. You will need to have a Canva account to access the template and create a COPY to make edits (DO NOT EDIT THE TEMPLATE). If you need help doing so, please refer to our Canva User Guide.