Request ACC Racial Healing Circle
We offer tailored Racial Healing Circles, personalized to the need of the group. We can host the circle at the TRTH Center at HLC or we can come to your campus. 
Sign in to Google to save your progress. Learn more
Requester's first name *
Requester's last name
 *
Email  *
Dates desired for the circle *
Is there a theme in particular that you would like dicussed in the circle? If so, please elaborate. *
Is there a particular facilitator that you would like to work with? *
Any questions or concerns, email saphiro.guzman@austincc.edu.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Austin Community College.

Does this form look suspicious? Report

Google Forms