Request edit access
Safe Zone Workshop Request Form
Please fill out form completely. A Multicultural professional staff member will contact you shortly after submission.
Sign in to Google to save your progress. Learn more
Email *
Georgia State affiliation *
Department/Student Group Requesting *
Name of Requester *
Position or Title of workshop requester *
Preferred workshop location (i.e., Multicultural Center, departmental meeting room) *
Preferred workshop date *
Preferred workshop time (*note, this is a 3 hour workshop) *
How many participants will be attending (*no more than 15 recommended) *
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy