ANTE UP! Private Group Registration Application
Welcome! Congratulations on choosing yourself. This form will assist you in registering for your ANTE UP! courses and certification process. For any questions contact Bianca@BiancaLaureano.com.
Group / Organization
Lead Contact First & Last Name
Lead Contact Email Address
How many participants does your group propose per course
under 6 participants
under 10 participants
up to 15 participants
between 16 - 30 participants
What are the demographics of the group?
Please be specific: race, age, gender, sexual orientation, documentation status, etc.
How many courses are you requesting?
Select the course(s) you are requesting a private group session for:
Select all that apply
Beyond Buzzwords: Intersectionality: Theory, Framework, and Praxis
Womanist and Feminist Ethnographies
Failure: F$%*ing Up, Learning, and Healing
Accountability Processes: Creating, Maintaining, Sustaining Community Safety
Theories & Frameworks by Women of Color
Imagining What’s Next: Grief, Death, Dying, Mourning
Abortion: Realities, Law, and Healing
Theories on Race & Racism
Liberatory Education: Theories & Practice
SAR (Sexual Attitudes Reassessment)
What dates and times are you requesting for the course?
Courses are four weeks in length and meet once a week for three hours. Additional hours may be added for private groups for a fee. Please offer at least two options for date and time of requested course(s). Because these are intensives, it is a requirement to attend all sessions for a passing assessment. We consider participant needs on a case by case basis. We value honesty and direct communication.
Where will the courses take place? Do you want Bianca to join in person or virtually?
If you request time with Bianca that is in person please budget for travel, per diem at the federal rate, and lodging.
Please select the option(s) that most resembles your group:
Select all that apply.
Have allocated funds for continuing education
Have allocated funds for professional development
Have unrestricted funds
Have funds from other sources that allow us to pursue this experience
What type of support, if any, may your group need for an optimal learning experiences?
Here is where you may share your groups accessibility needs (i.e. transcripts from class, subtitles to films, translation support, etc.). If none, please write "None" for your response.
Has your group read and are they willing to agree to all of the core Community Agreements?
The core Community Agreements are listed on the ANTE UP! website. We will have time in each course to collectively add to these agreements..
Select all that your group members are comfortable performing for collective support during the course:
Select all that apply
Taking notes on a shared Google Doc for at least one session per course
Transcribing one video recording for one session per course
Transcribing one video that needs subtitles
Writing image descriptions for artwork and other media
Translation support (Spanish, French/Creole, Portuguese, Quechua, Farsi, Mandarin, etc.)
Select the courses you are most interested in us offering for this request and / or in the future:
choose top 4
Theories and Frameworks by Women of Color
Ethics in Working with Bodies of Color
Anatomy & Physiology: Unlearning the Bullsh&$
Theories on Race and Racism
Death, Dying, Grief, Mourning, and the Body
Online Communities and Safety
Disability Justice and Bodies of Color
Creating and Maintaining Boundaries
How did you learn about ANTE UP!?
Are you Puerto Rican organization / or a student group at the University of Puerto Rico?
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service