Request edit access
Safe Zone Workshop Request Form
Please fill out form completely. A Multicultural professional staff member will contact you shortly after submission.
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.
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