Request Training Session Use the form below to request diversity, equity and inclusion training for School of Medicine groups. School of Medicine training requests Training Request Form Department/Division Requesting Training * Training Being Requested * 1.0 2.0 3.0 4.0 1.0 and 2.0 3.0 and 4.0 Antiracism/Racial Equity Specific training Disabilities 1.0 Diversity Advisor (Prerequisite – Must have completed HR Diversity 2.0 and complete IAT) Listening Session Striving Toward Inclusive Excellence for Managers OtherOther Please List Options in Order of Preference (There will be no training conducted in January and December) Date Option (1) * Registration Deadline (indicate registration cutoff for this date, inform participants of deadline) Preferred Time * 121234567891011 : 00153045 AMPM Optional Time 121234567891011 : 00153045 AMPM Date Option (2) Registration Deadline (indicate registration cutoff, inform participants of deadline) Preferred Time 121234567891011 : 00153045 AMPM Optional Time 121234567891011 : 00153045 AMPM Date Option (3) Registration Deadline (indicate registration cutoff, inform participants of deadline) Preferred Time 121234567891011 : 00153045 AMPM Optional Time 121234567891011 : 00153045 AMPM Attendees for Training (please check all that apply) * Faculty Fellows Post Docs Staff Students Residents Minimum of 10 attendees are required to conduct a class Estimated Number of Attendees * Training Location The training location requires working AV Support: A computer with sound, internet access and a projector. Do you have a training location with AV available? * Yes, our training location has a computer with sound, internet access and a projector. No, we will reserve a space that is equipped when our date is confirmed. Virtual – Zoom Campus * School of Medicine Off-site location Training Location Building * Training Location Floor * Training Location Room Number * Phone Number to Training Location Room, if possible Location Max Capacity * This Training Location has (please check all that apply): * Computer with working audio/sound Internet access Projector Point of Contact Name * Email * Phone * Website If you are human, leave this field blank. Submit