Color Me Community Request Form

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Full Name:

Email Address:

Phone number:

Company/Organization/Group Name:

Date(s) for workshop(s):

CMC Package Plan of interest:

90 Minute CMC Conversation Virtual

90 Minute CMC Conversation In-Person

3 hr CMC Conversation Virtual

3 hr CMC Conversation In-Person

5 hr CMC Workshop Virtual

5 hr CMC Workshop In-Person

10 hr (2 Day series) CMC workshop In-Person

15 hr (3 Day series) CMC workshop In-Person

A Full Year of CMC (Annual Package)

Clear selection

Workshop Location/Address (In-Person)

Estimated number of participants:

Anticipated Outcomes (Please choose top 3):

Mission Alignment

Individual & Team Growth

Sense of Belonging

Culture Setting

Improved Employee Retention

Deeper Understanding of Bias

Conflict Resolution Tools

Row 1

What is your estimated budget?

Any additional information you would like to share:

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