ANTE UP! Registration Application: Accountability November 2018
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 at LatiNegraSexologist@gmail.com.
Email address *
First Name *
Your answer
Last Name *
Your answer
Which session works best for you? *
Three courses are available for November: Tuesday, Wednesday, or Thursday. Choose all of the options that work for you. When a group is formed you will be notified and and asked to confirm your participation by providing a $50 confirmation fee that goes toward your course payment. capacity. You may write in the days and times that work best for you below. If you wish to organize your own group of 6-8 people for a specific date and time not listed below, email Bianca at LatiNegraSexologist@gmail.com.
What type of support, if any, may you need for an optimal learning experiences? *
Here is where you may share your accessibility needs (i.e. transcripts from class, subtitles to films, translation support, etc.). If none, please write "None" for your response.
Your answer
Are you 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. Visit http://biancalaureano.com/ante-up/ante-up-certificate-requirements/ for core agreements.
Select all that you are comfortable performing for collective support during the course: *
Select all that apply
Required
How did you learn about ANTE UP!?
Your answer
Are you Puerto Rican and / or a student at the University of Puerto Rico or living in a hurricane zone? *
Required
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