Participation Technical Assistance Interest Form
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Organization *
Primary Contact Person *
Contact's Email *
Contact's Phone *
Contact’s Title or Role *
Organization's Annual Budget *
Which of these are you interested in? *
How are program users involved in the programming they use at your organization?   (Can they volunteer in the program they use? How are they involved in decision-making? How do they influence the direction of the program and the organization?) *
Do the demographics of your mostly staff resemble the demographics of your program users? *
Have the people participating in this professional development opportunity participated in Diversity, Equity, and Inclusion trainings before? (Choose one that best applies.) *
Which description best describes the level of familiarity between program staff and program users at your organization? (Choose one that best applies.) *
What is your timeframe for professional development? *
Does anything else feel important to communicate? (Clarifications on multiple choice responses, other important information, etc.)
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This form was created inside of Boulder Food Rescue.