Safe Space Registration

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Safe Space Registration - Spring 2018

To register for a Safe Space training, fill out the form below.

First Name *

Last Name *

Email *

Phone *

Department or Major *

GC Affiliation *

Check all that apply

Undergraduate Student

Graduate Student

Faculty

Staff

Required

GC Affiliation pt. 2 *

Please enter your position title, organization(s) you're a part of, etc. (E.g. Program Coordinator, LGBTQ+ Center; or President, Pride Alliance)

I would like to register for the following Safe Space Training: *

Training attendance will be capped at 15 participants. You will be sent a training confirmation, or notification if you have been placed on a waitlist. All trainings will take place in the HUB (Blackbridge Hall).

Friday, March 2nd, 2-5 p.m.

Thursday, March 22nd, 9 a.m. - noon

Monday, April 23, 6-9 p.m.

How did you hear about the Safe Space Program? *

Frontpage Announcement

Student Affairs/LGBTQ+ Center website

Social Media

Supervisor or co-worker

Other:

Required

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