In-Person Training

Office of Diversity and Inclusion team members and experienced trainers are available to provide in-person trainings to departments, committees, and workgroups. To request a training session, please complete and submit the following form. Please complete a separate form for each requested training topic. 

Please allow at least four weeks from the date of submission to your proposed training date. Proposed training dates must be confirmed by the Office of Diversity and Inclusion with the training organizer before they can be considered final.

* = Required Fields

Name of person requesting training:*
Title:*
Department*
Contact phone number:*	() - ext.
Contact email address:*
Please select from the topics:* Cultural Competence in Healthcare Diversity and Sensitivity in the Workplace Foundational Learning on Unconscious Bias Unconscious Bias in the Clinical/Health Care Setting Unconscious Bias in the Learning Environment Unconscious Bias and Stigma With LGBTQ Populations Unconscious Bias in Recruitment and Selection Processes Other
If Other, please specify:
Proposed training date:*
Proposed training time:*	01 02 03 04 05 06 07 08 09 10 11 12 : 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 AM PM
Anticipated number of attendees:*
Description of audience members (Please check all that apply):* Faculty Employees Students Other
If Other, please specify:
Computer, projector, screen/monitor available for presenter's use* Yes No
Location the training will be held:
Room Number*
Address*
Directions*
Briefly describe the desired goals or outcomes of the training:*