Workshop Request Form
Please complete the following questions to the best of your ability.
If a question is not applicable to your workshop or you do not have an answer at this time, please leave the field blank.
If you have any questions or concerns, please feel free to email
Additionally, if you are interested in having your organization or entity undergo a more extensive agency assessment, please email
with your request. Ongoing technical assistance is available by email request.
Contact Name and Pronouns
Pronouns refer to how you would like others to refer to you in the third person (i.e., she/her, he/him, they/them, etc.)
Contact Phone Number
Contact Email Address
Name of Organization or Entity
What should a facilitator know about the culture of your organization or entity?
This helps our staff prepare more to partner with your specific organization.
What are you most hoping attendees will gain from this workshop?
Has your current team previously received LGBTQ+ Inclusivity trainings?
What led to your interest in requesting this training?
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This form was created inside of Pride Center of Vermont.