JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Cadoux Consulting Facilitation for Equity Fundamentals Interest Form
Thank you for your interest in the Facilitation for Equity Fundamentals training on Dec 1/2 in Denver! Please fill out the form below and we will be in touch by the end of September. All demographic information listed is optional, will be kept confidential, and is intended only for the purposes of creating a space with diverse voices.
If you have any questions regarding content for the training, please contact Zara at
cadouxconsulting@gmail.com
. If you have questions regarding logistics, please contact Rena at
rena.kawabata@gmail.com
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Where do you live?
*
Your answer
How did you hear about this training?
*
Your answer
What are your preferred pronouns?
**Identifying is optional
Your answer
How do you identify racially?
**Identifying is optional
Your answer
What is your age?
**Identifying is optional
Your answer
What is your sexual orientation?
**Identifying is optional
Your answer
Do you have any learning differences or accommodations you would like us to be aware of?
Your answer
What is your current role in the ultimate community?
*
Your answer
What are some dynamics within the ultimate community you are working to interrupt?
*
Your answer
What do you see as the biggest barriers to access in ultimate?
*
Your answer
What are you hoping to gain from this training?
*
Your answer
Describe some of the work (introspection, behavior change, advocacy) you have done on your dominant identities (white, male, heterosexual, cisgendered, able-bodied, wealth, full documentation, etc).
Your answer
If you feel comfortable, share how you experience your marginalized identities within the ultimate community.
Your answer
The actual cost of the training is $385 per person. We are also offering a sliding scale option because we do not want cost to be a barrier. We recommend approaching your local disc organizations for sponsorship! Please check all the boxes below that apply to you.
*
I can pay the full cost of $385.00
I would like to offer an additional support to sponsor another participant.
I am requesting a sliding scale payment.
Required
If you checked 'I am requesting a sliding scale payment,' please enter your estimated contribution.
Your answer
If you checked 'I would like to offer additional support to sponsor another participant,' please indicate the amount you are interested in donating.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms