Office for Equity & Diversity Consultation/Facilitation Request Form
This form helps our office best gauge your needs and determine who is best suited to provide consultation/facilitation.
Please note that we can not ensure confidentiality with this form. As such, please do not include sensitive departmental or personnel information in your responses.
If you have any questions, please contact
Name of Institution/Department/Unit
Please provide the date(s) and time(s) for the event(s) for which you are requesting consultation/facilitation:
Tell us about the topic of the meeting, discussion, town hall, conversation circle, etc. for which you are requesting consultation/facilitation:
Is there anything else you would like to share regarding the type of consultation, support, or resources you're requesting:
Size of Unit/Department
What other equity and diversity work is your unit/department participating in currently or in the past?
Developed a strategic plan with an equity and diversity focus
Developed a specific equity and diversity strategic plan
Has an active equity and diversity committee
Offer other equity and diversity workshops
Offer equity and diversity focused scholarships or awards
Has on-going equity and diversity conversations at departmental meetings
Includes work around equity and diversity in professional development plans for staff and faculty
Conducts research related to equity and diversity
Offer classes related to equity and diversity
Engagement with underrepresented communities in hiring, admissions, collaborations, etc.
Has had one or more difficult conversations or situations related to equity and diversity in the department in the past 3 years
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This form was created inside of University of Minnesota Twin Cities.