Workshop Request Contact Information NetID Name First Last Department Phone Email Workshop Information Target Audience Pick a Workshop NoneWords Are Powerful: Diversity Terminology SimplifiedHow Cultural Competency and Inclusion Drive TeamworkHow to Facilitate a Civil DialogueAllyship & ActionTransform Your Class: Inclusive Pedagogy Best PracticesCustomized Training Type of Event Event Location Please describe your goals and needs for the training For customized training, please describe what topic(s) you are interested in covering Estimated Number of Attendees Status message Choose your preferred date/time option. All date/time options must be on a weekday and be at least 3 weeks out from time of submission. Preferred Date / Time Option 1? Preferred Date / Time Option 1: Date Preferred Date / Time Option 1: Time Preferred Date / Time Option 2? Preferred Date / Time Option 2: Date Preferred Date / Time Option 2: Time Preferred Date / Time Option 3? Preferred Date / Time Option 3: Date Preferred Date / Time Option 3: Time Leave this field blank
