OEI Workshop Customization Request
This form should be filled out by anyone requesting customized programming or training through the Office of Equity and Inclusion at the University of Delaware. If you are interested in registering for any of our planned workshops, please visit www.udel.edu/oei/educationalopportunities for more information!
Please list the entity requesting this educational opportunity.
Department Name: *
Your answer
Name *
Your answer
Email address *
Your answer
Workshop Topic: *
Please list the topic or topics you are interested in learning more about through this workshop.
Your answer
Describe the reason for this request: *
Provide any context and rationale for your request here.
Your answer
Described the intended outcomes: *
What do you hope to accomplish with this workshop?
Your answer
Proposed Location: *
Your answer
Audience: *
Check all that apply.
Priority *
Very high
Very low
Proposed Date: *
Proposed Time: *
How will this conversation continue in your department/unit following the workshop? *
Your answer
Additional Details:
Your answer
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