Enterculture: An Immersive Experience      

Where: Whim (1225 W. Belmont, Chicago). Lunch will be provided. Water bottles are welcome and JEDI (justice, equity, diversity, and inclusion) mocktails will be available for purchase.

When: 10am- 4 pm on Thursday, May 25th 

Attendance in the full day experience is REQUIRED (late arrivals and early departures are not permitted) and space is limited. So, if after determining your availability, you're still interested,  please complete this registration form.

Who: Designed for seasoned DEI directors, leaders & all who are invested in taking the next bold step in their ongoing DEI journey

NOTE: While the facilitators have designed this experience to balance psychological safety with stimulating and evocative components, portions of the day may be activating/triggering for some. Please tend to your needs along the way and know participation is voluntary. You are also welcome at any point to connect with our trained therapist on the facilitation team. 


PRICING*
Team of 4 (highly recommended and discounted): $1400
Individual: $400 
Payments can be sent via Zelle to corrie@corriellc.com or with a credit card by clicking here (there will be a transaction fee. Use promo code: TEAMS to receive discount for 4+ registrants)
*This should not be a cost prohibitive experience. Therefore donations are welcome to support participants with financial need. 
* Email culturethechange@gmail.com for sliding scale options.
Email *
First Name *
Last Name *
Organization *
Check all that apply
Required
Where do you work? *
Are you coming alone or with a team? *
If coming with a team, please write the names of those joining you.
"When it comes to talking about issues of.... *
I don't know what this means
I am uncomfortable
I am comfortable
Ableism
Ageism
LGBTQIA+ discrimination
Race/racism
Religious discrimination
Sexism/Partriarchy
Xenophobia
Salient identities you'd like to share
This experience is centered on strengthening a sense of inclusivity across personal and social identities. Therefore IF you would like to, please share any identities that are significant to you (ie. race, ethnicity, religion, spirituality, ability, gender identity, gender expression, sexual identity, etc.) Your response to this question is greatly appreciated and of course OPTIONAL.
Are you currently leading DEI efforts? *
We are creating a playlist for our time together.  Share the name(s) and artist(s) of a song(s) that motivates you.
What intrigued you about this workshop?
This full-day workshop experience will have been a success if...
Please share any questions, comments or concerns.
ie. dietary needs/restrictions
Will you be making a donation? *
Registration confirmation will be sent once payment is received.
Payments should be sent via zelle to corrie@corriellc.com or checks (made payable to corrie LLC) mailed to CORRIE LLC 3535 Arcadia St. Evanston IL 60203 or with a credit card by clicking here. 
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Township High School District 113.
Google Forms