Disability Language, Attitudes, and Justice Training Registration
Please complete the form below to request the Disability Language, Attitudes, and Justice workshop offered by Christa Mullis of The Center for Diversity Education and Disability Cultural Center.

This workshop, offered in three levels, will engage participants to think about disability as a matter of diversity, community, culture and justice.

About Your Group
Requestor's First and Last Name
Your answer
Email
Your answer
Phone Number
Your answer
Department or Organization Name
Your answer
Training Logistics
It is recommended to register for training levels in consecutive order.
Choose a Level
Number of Participants
Your answer
Date
MM
/
DD
/
YYYY
Time
Time
:
How long should the training last?
Location
Your answer
Is there anything else we should know about your group?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms