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: *Email: *Phone Number: *How did you hear about the UNH Safe Zones Trainings? Scheduling Safe Zones: We offer a variety of workshop options, which are listed below. All workshops are interactive with opportunity for rich discussion. Workshops can be tailored to focus on the interests and needs of the group, and offered via a variety of program delivery methods. The average length of most Safe Zones workshops is 1 - 1.5 hrs. 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. *1) Type of Safe Zones workshop you are requesting: Safe Zones Training for Faculty & Staff (Focused on advancing awareness, knowledge, and skills around the services and support that faculty & staff provide to LGBTQ students and colleagues.) Safe Zones "Training" for Student Staff (Enrichment tailered to address LGBTQ issues specific to job responsibilities.) Safe Zones "Program" for a Student Group (i.e. Student Organization) (Activities Spark Discussion: Focused on current LGBTQ issues that the group wants to address.) Safe Zones for Students in an Academic Class (Options: Panel Discussion or Activity-Based Program on a LGBTQA topic you select.) *2) Please suggest potential dates and times when you would like to schedule Safe Zones (i.e. Tuesday, Sept 21 @ 4pm): 1st choice: 2nd choice: 3rd choice: *3) Location where the workshop will be held: *4) Who will be attending (please check all that applies): Undergraduate Students Graduate Students Faculty Staff Administrators Name of this group, department, class, or organization: *5) Anticipated number of participants: *6) What level of understanding of LGBTQ issues does the average employee in your department OR student in your group currently have? Basic Intermediate Advanced *7) Related to the work of your group, department, class, or organization, what key points, issues, topics, and/or questions would you and your group like us to cover during the training or program: Comments / Questions: *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:
*Email:
*Phone Number:
*How did you hear about the UNH Safe Zones Trainings?
Scheduling Safe Zones: We offer a variety of workshop options, which are listed below. All workshops are interactive with opportunity for rich discussion. Workshops can be tailored to focus on the interests and needs of the group, and offered via a variety of program delivery methods. The average length of most Safe Zones workshops is 1 - 1.5 hrs. 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.
*1) Type of Safe Zones workshop you are requesting: Safe Zones Training for Faculty & Staff (Focused on advancing awareness, knowledge, and skills around the services and support that faculty & staff provide to LGBTQ students and colleagues.) Safe Zones "Training" for Student Staff (Enrichment tailered to address LGBTQ issues specific to job responsibilities.) Safe Zones "Program" for a Student Group (i.e. Student Organization) (Activities Spark Discussion: Focused on current LGBTQ issues that the group wants to address.) Safe Zones for Students in an Academic Class (Options: Panel Discussion or Activity-Based Program on a LGBTQA topic you select.)
*2) Please suggest potential dates and times when you would like to schedule Safe Zones (i.e. Tuesday, Sept 21 @ 4pm): 1st choice: 2nd choice: 3rd choice:
*3) Location where the workshop will be held:
*4) Who will be attending (please check all that applies): Undergraduate Students Graduate Students Faculty Staff Administrators Name of this group, department, class, or organization:
*5) Anticipated number of participants:
*6) What level of understanding of LGBTQ issues does the average employee in your department OR student in your group currently have? Basic Intermediate Advanced
*7) Related to the work of your group, department, class, or organization, what key points, issues, topics, and/or questions would you and your group like us to cover during the training or program:
Comments / Questions:
