Diversity & Inclusion Training or Classroom Presentation Request

Please fill out the form below to request a training or classroom presentation.

Name *

Department

Email *

Phone Number *

Are you internal or external to UNT? *

Internal

External

Is this a training or classroom presentation request? *

Training

Classroom Presentation

Class name and number: *

Please upload class syllabus *

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt pdf doc docx ppt pptx.

Faculty and TA/TF teaching class *

Class meeting dates *

Class enrollment *

Desired date of class presentation (Note: presentation dates based upon staff availability and curriculum development) *

Month

Day

Year

Other

What specific content areas would you like us to address?

Describe why you are requesting this training or classroom presentation, as it will help us tailor our content and presentation style:

How did you hear about this training?

Training Workshop Participants

Describe the anticipated audience for the training. (For instance, faculty or staff of a specific department, students in a specific organization, etc.):

Please choose

Non-profit

Government Agency

Educational Organization

Corporate/For-profit

Approximately how many people will be in attendance?

What disability accommodations are needed for any participants?

Training Workshop Logistics

Please provide three options for dates, times and locations of your training in the following format:
DATE/TIME/LOCATION (Ex. January 1, 2019/10:00 a.m. - 2 p.m./BLB Room 065)
NOTE: A/V and internet connections are required when considering the location of your desired training

Option 1 *

Option 2 *

Option 3 *

What is the desired length of training?

Describe any additional logistical needs (including multiple dates or multiple hours, technology requests, etc.):

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Please fill out the form below to request a training or classroom presentation.

Training Workshop Participants

Training Workshop Logistics