Training Request FormHome / Training Request Form Step 1 of 3 33% Requester's Name* Department/Office/Organization* Instructor and/or Organizational Leader(s)* Course Name/Number/Section (if applicable)* If this is not applicable, enter N/A.Email* Enter Email Confirm Email Phone*Please use this format: (xxx)xxx-xxx Proposed Presentation Topic* Creating Community Beyond Diversity The Intercultural Development Inventory (IDI) Length of Presentation* There is a 60 minute minimum for all workshops (e.g. 1hr 30min) Date (1st preference)* MM slash DD slash YYYY All proposed dates are contingent upon trainer availability and at the discretion of CCEE.Time* : Hours Minutes AM PM AM/PM Date (2nd preference)* MM slash DD slash YYYY All proposed dates are contingent upon trainer availability and at the discretion of CCEE.Time* : Hours Minutes AM PM AM/PM Location of Presentation* Does the location have a computer?* Yes No Does the location have a projector* Yes No Special Requests*(If you plan to facilitate your own workshop, please note so here.)What prep work will you do, prior to CCEE coming, to prepare your students/participants for this session?*(e.g. engage in discourse about power and privilege, discuss identity development, identify "safe spaces" at Mason, etc.) Estimated Number of Participants*Description of Participants*(e.g., age range, interest, experience level with issues/concepts of diversity and multicultural issues, etc.)How will you incorporate elements of this session into (a) your classroom practice; (b) your curriculum; (c) your office professional development plan, etc. over the course of the rest of the semester?*Learning Outcomes*What do you want/expect participants to be able to understand, communicate, and/or demonstrate as a result of this session? (e.g. Participants will have a better understanding of class and color privilege; participants will think critically about what they see and hear, etc.)PhoneThis field is for validation purposes and should be left unchanged.
