Educational Information
Safe Zones Scheduling Form NOTE: We prefer that requests are made at least 3 - 4 weeks prior to the training or program date requested. *Your name: *Department / Position Title: *E-mail address: *Phone Number: *How did you hear about the Safe Zones Trainings? Scheduling the Safe Zones workshop: We offer a variety of workshop options, which are listed below. The *NEW* "Program" option is very flexible: programs can be tailored to the interest and needs of students and offered via a variety of program delivery methods. Please provide the following information. We will do our best to accommodate your request. You will receive a confirmation by email within 3 – 5 business days. *Type of Safe Zones workshop you are requesting: Safe Zones Training for Faculty & Staff (Average length: 1.5 hrs) Safe Zones "Training" for Students (Average length: 1.5 hrs) Safe Zones "Program" for Students (Average length: varies) Safe Zones for Students in an Academic Class (Options: Panel Discussion, Program, or Training) *Date and Time of the Safe Zones workshop (you may suggest several dates): *Location where the workshop will be held: *Who will be attending: *Projected number of participants: *What level of understanding of LGBTQ issues does the average employee in your department OR students in your group currently have? Basic Intermediate Advanced *Related to the work your department or organization does, what key points, issues, topics, and/or questions would you and your group like us to cover during the training or program: Comments: *Required Fields.
NOTE: We prefer that requests are made at least 3 - 4 weeks prior to the training or program date requested.
*Your name:
*Department / Position Title:
*E-mail address:
*Phone Number:
*How did you hear about the Safe Zones Trainings?
Scheduling the Safe Zones workshop: We offer a variety of workshop options, which are listed below. The *NEW* "Program" option is very flexible: programs can be tailored to the interest and needs of students and offered via a variety of program delivery methods. Please provide the following information. We will do our best to accommodate your request. You will receive a confirmation by email within 3 – 5 business days.
*Type of Safe Zones workshop you are requesting: Safe Zones Training for Faculty & Staff (Average length: 1.5 hrs) Safe Zones "Training" for Students (Average length: 1.5 hrs) Safe Zones "Program" for Students (Average length: varies) Safe Zones for Students in an Academic Class (Options: Panel Discussion, Program, or Training)
*Date and Time of the Safe Zones workshop (you may suggest several dates):
*Location where the workshop will be held:
*Who will be attending:
*Projected number of participants:
*What level of understanding of LGBTQ issues does the average employee in your department OR students in your group currently have? Basic Intermediate Advanced
*Related to the work your department or organization does, what key points, issues, topics, and/or questions would you and your group like us to cover during the training or program:
Comments:
