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Test Form
October 13, 2026
Siksika Health Comms Request Form (1)
Name
(Required)
Department
(Required)
Email Address
(Required)
(please note that this must be a correct email address for your request to be processed)
Topic/Event
(Required)
Has this initiative already happened, or is it coming up?
(Required)
Already happened (go to Section 2A after completing this section)
Coming up (go to Section 2B after completing this section)
In two or three sentences, what is the initiative and why does it matter?
(Required)
When and where did it (or will it) take place?
(Required)
Who is it for?
(Required)
Internal – Siksika Health Staff
External – Siksika Nation Community & Public
Partners
Youth specifically
Elders specifically
Who was involved?
List any partners, sponsors, or groups we should name or thank.
What is one thing you want people to know, feel, or do after reading about it?
Section 2A: Past Initiatives (story sharing)
Thanks for helping us share about this! Tell us the story in your own words; we will shape it for our audiences.
What happened?
Please share details of the day or project.
What was the result?
Share any details or numbers that show impact (i.e. number of attendees, feedback from participants, partners/volunteers/sponsors met, etc.)
Was there a highlight or memorable moment?
Is there anything we should not mention, or anything to be sensitive or careful about?
Photos & Videos
Please send any photos and/or videos from the initiative to comms@siksikahealth.com. Please note: by sending photos or videos you confirm permission to share.
Section 2B: Upcoming Initiatives (draft your message)
Templates
You know your initiative best, so we ask you to write the first draft. Please use the template(s) that best suits your needs from the list below, and fill it in as best you can, and upload it using the link below. It does not need to be perfect. Once we receive your draft, the communications team will polish it for tone, style and our audiences. We will then send it back to you for review before anything is shared.
Social Media Post
Poster
Postcard
Brochure
Letter
Memo
PowerPoint
Upload Draft Here
Max. file size: 3 MB.
Is there an action you want people to take?
Examples might include: register, attend, apply, donate, etc.
Would you like the communications team to attend and capture photos or video, if possible?
Yes / No / Maybe — please give date, time and location.
Does you have any IT requirements? AV, PA, etc, If so, please contact IT at support@siksikahealth.com.
Scope
(Required)
How large/significant is this request? Is it one-off, or part of a larger campaign? For how long will it need to be communicated?
One Time
Recurring (i.e. weekly events)
Campaign/Event Promotion (ongoing until event date/campaign end date)
Deadline: When Do You Need This By? (if on a mobile device, turn phone sideways to view calendar)
(Required)
Please note that comms requests require a minimum 3 business days turnaround allowance. Depending on scope of request, more time may be required.
Approvals
Has your Manager approved sharing this?
(Required)
Yes
No
Pending
Do any partners or sponsors need to approve this before it is shared?
If yes, who? Please provide their contact information.
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