D.E.E.P. IMPACT Diversity Training Request Form

(must be received 2 weeks prior to request date)

Please note the room being used for training must have a projector, speakers, and laptop capability.

Contact Information

All fields required unless noted otherwise

Please list requested times and dates for you diversity training.

Dates and Times

In considering your training topic in the next section, please be aware that training for each topic takes 45 minutes.

Workshops Available

Please indicate topics in which you are interested (each topic will need 45 minutes).

Is there anything we should know about your class / group in perparation for this training?