Health Equity & Social Justice (HESJ) Workshop
2018/2019 Workshop Information & Application Form *Applications due by June 26, 2018*
Email address *
Workshop Location
Except for the homework portion of the workshop, all workshop days will take place at Forest Community Health Center located at 2316 S. Cedar, Lansing MI 48910. The homework portion will be completed on your own and/or with a partner from the workshop at the location of your choice. Breakfast and lunch are provided on all workshop days except for the homework day.
Workshop Duration
Each workshop is a total of 32 hours of learning time:
- 3.5 days (28 hours) with your workshop group
- 0.5 days (4 hours) on your own or with a partner for the homework portion

The first two days and the last two days of the workshop are consecutive days, with a homework portion in between.

Participants are expected to attend every day of ONE SESSION (A, B or C) and to complete the homework portion prior to Day 3 of the workshop.

How to Register
1. To apply for the 2018/19 HESJ workshop series complete the application form below and submit by 5:00 p.m. on June 26, 2018. Please indicate on the application form ANY AND ALL sessions that you are available to attend.

2. On July 2, 2018, all applicants will receive an acceptance notification letting them know which session they may attend.

3. Upon receiving acceptance notification, Health Department employees will receive instructions to finalize their registration in the HealthStream system. Non-Health Department employees will receive separate instructions for finalizing their registration.

Registration Fee
There is no fee to attend the Ingham County Health Department HESJ Workshop. Workshops are funded by a combination of grant funding and Ingham County general funds. Workshop participation is required for all Health Department employees and is open to Ingham County residents.
Contact
For questions or more information, contact ICHD Health Equity Coordinator, Jessica Yorko at 517-272-4144 or jyorko@ingham.org.
Application Confidentiality
Application information is used to help create balanced/diverse groups at each workshop session. All information provided on application forms is kept confidential by ICHD workshop coordinators.
Application Form
Sessions I am available to attend (please indicate all and any that you can attend) *
Required
First Name *
Your answer
Last Name *
Your answer
Title
Your answer
Organization/Company
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Community Affiliations (organizations you are part of)
Your answer
Race
Your answer
Ethnicity
Your answer
Age
Your answer
Gender Identity
Your answer
Other aspects of your identity that you would like to share (ie religion, sexual orientation, ability, national origin, language, etc):
Your answer
Briefly, why are you interested in participating in a workshop on health equity and social justice? (ie to deepen my personal understanding of the issues; to become a better advocate for justice; professional development, etc). This question is OPTIONAL and there are no wrong answers.
Your answer
A copy of your responses will be emailed to the address you provided.
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