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Training Request Form
LGBTQIA Safe Zone Hub - MB-10
For questions contact Collin Dwarzski at Cdwarzski@lagcc.cuny.edu
Please note requests should be submitted at least 3 weeks in advance.
Information of Requesting Individual(s)
Name
Department
Location of Training
How many people do
you expect to attend
this training?
Who is this training for?
(i.e. Dept., Club)
Please provide us with
any relevant
information about the
target audience.
How will you promote
this training? How have
you promoted this
training?
Date
Email/ Ext.
Do you have a
preference in
facilitators? If so,
please share.
Which workshop are
you interested in?
Safe Zone (4 hr)
Ally Training (2 hr)
Mandatory (2 hr)
Training Session Information
Comments and Approval
Is there any other information you think we should know about your requested workshop or training?
PLEASE NOTE:
If you would like a list of trainers please contact Collin Dwarzski at cdwarzski@lagcc.cuny.edu
or visit www.laguardia.edu/safezonehub.
To participate in a Safe Zone training you must have a basic understanding LGBT identities and experiences. Please feel
free to contact Collin Dwarzski if you would like some advice on which session is best for your group.
Requester
LGBTQIA Safe Zone
Signature
Hub Staff Signature
Time of Training
Please list two
options.
Date of Training
Please list three options.
Download
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Email
Email completed PDF
Send for Signing
Email for others to sign
Print
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Please note requests should be submitted at least

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Completed 26 July 2020

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