Green Dot Bystander Certification Registration
Thank you for registering for Green Dot Bystander Training, which will be held on November 7, 2019 from 4:00 pm-8:00 pm. Please mark your calendars for this date. You will receive a confirmation email one week prior to the certification. If you have any questions, please contact CARE at or 949-824-7273.
Email address *
First Name *
Your answer
Last Name *
Your answer
What is your UCI Net ID? *
Your answer
What is your involvement on campus?
Tell us what programs/organizations you're involved with
Your answer
What is your major?
Your answer
Why are you interested in attending the Green Dot Bystander Intervention Training? *
Your answer
What is your class standing? *
Do you have any dietary restrictions? *
What size Green Dot t-shirt would you like? *
Please list any accommodations you need.
Your answer
How did you hear about the GDBIT? *
Never submit passwords through Google Forms.
This form was created inside of University of California, Irvine. Report Abuse - Terms of Service