Sustained Dialogue Inclusive Leadership: Tri-C Registration Application (Spring 2019)
This application is to be filled out for two reasons:
1. By individuals--students, faculty and staff--who would like to attend the Sustained Dialogue Inclusive Leadership training at Tri-C this academic year, 2018-2019.
2. If you are interested in participating in Sustained Dialogue but are unable to attend one of the training sessions, please fill out the application, making sure to check the box in the first section.

You can be from any campus to participate in a training (it does not have to be at your home campus).

o Open: Metropolitan Campus – February 8th, 2019, 9:00am to 3:30pm
o Closed: Western Campus – October 26, 2018, 9:00am to 3:30pm

*Note: Students, you do not have to go through the training to participate in a dialogue group on your campus, but you need to in order to lead and moderate a dialogue group.

Please complete the following questions to sign-up.

All applicants interested in the Moderator training will hear back within a week of completing a the application.

For more information on the Sustained Dialogue process visit the website: http://sustaineddialogue.org/

Questions? Please contact: Tyler Olson, Program Manager // Phone: 216-987-2582 // Email: Tyler.Olson@tri-c.edu

Please select the check box below if you are interested in participating in Sustained Dialogue on your campus, but are unable to attend the Inclusive Leadership training.
Please indicate your affiliation with Tri-C *
First Name *
Your answer
Last Name *
Your answer
Preferred Name (if different than first name)
Your answer
S-Number *
Your answer
Primary Email Address *
Your answer
Primary Phone Number *
Your answer
Which is your home campus? *
Would you like to participate in a training? *
If you answered "Yes!" to the previous question, select your 1st through 3rd date preferences. East Campus Training is full. (If you are unable to make more than one, only select what will work.)
October 26th, 2018 (Western Campus)
February 8th, 2019 (Metro Campus)
First
Second
I cannot attend one of these trainings, but I am interested in attending a future training.
Next
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