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Training Request Form
Name of Faculty, Student, or Staff Member:
Purpose of Training:
Type of Training Requested:
Teaching & Learning Center (Dialogues on Diversity)
Personal Consultation Concerning Diverse Issues in Higher Education
Equity & Inclusion Classroom Discussions
Wall of Stereotypes/Bias
Date & Time of Training Preferred:
Would you like a Student Diversity Liaison or GA to be present for training?
Additional Training Details
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This form was created inside of University of Lynchburg.