Triangle Speakers Training Registration Form
Thank you so much for your interest in becoming trained with Triangle Speakers, a program of the Diversity Center of Santa Cruz County.

WE have just completed our Winter/Spring training on 04/14/18. We will hold another training later this year. Once we have the dates finalized with our trainers we will notify you if you've filled out the form below. Our trainings are usually held on a Saturday from 9:00 AM - 5:00 PM. Once you pre-register below we will follow up with a confirmation email and further details closer to the event. We will provide breakfast and lunch. Training is at no cost to you.

How did you hear about the training?
Your answer
Chosen Name
How you want us to address you
Your answer
Legal First Name (What we will see on your ID/Driver's License)
We need this for when we process livescan results
Your answer
Legal Last Name (What we will see on your ID/Driver's License)
We need this for when we process livescan results
Your answer
Street Address
Your answer
City, State, Zip
Your answer
Email address
Your answer
What language/s do you speak fluently?
Your answer
Home phone number
Your answer
Can we say we are calling from Triangle Speakers?
Work phone number
Your answer
Can we say we are calling from Triangle Speakers?
Mobile phone number
Your answer
Can we say we are calling from Triangle Speakers?
Date of Birth
MM
/
DD
/
YYYY
Ethnicity
Please include all that apply
Your answer
Sexuality
Your answer
Gender Identity
Your answer
Pronoun you would like us to use
Your answer
Please share with us anything from your background that might be helpful to us in placing you on panels
Your answer
Food Choice
If you have any food sensitivities/allergies please check 'Other' and let us know
Are you a trained Triangle Speaker? Is this a refresher training for you?
If you are a trained Speaker would you be willing to volunteer on the day of?
Do you need transportation to the training?
Are you available to carpool to the training?
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