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Sign-Up for Safe Zone DEI Training

We believe in this training and can provide scholarships for small businesses and newer nonprofits to make it accessible. No payment is required now; please complete the form and then contact us directly to discuss scholarships.

Safe Zone DEI Training Sign-Up

Which type of Safe Zone DEI training are you requesting today?(Required)

Non-Profit Training ($400)

For-Profit Training ($800)

Listening Session & Custom Training ($2,500)

Organization's Name(Required)

Organization's Website(Required)

Your Name(Required)

First Last

Your Preferred name (Optional)

Your Email(Required)

Enter Email Confirm Email

Your phone(Required)

How do you identify?(Required)

Check all that apply.

Asexual

Bisexual

Gay

Intersex

Lesbian

Pansexual

Queer

Straight

Transgender / Nonbinary

Prefer not to answer

Other (I’ll add my response in the Comment Box below)

What pronouns do you use?(Required)

Check all that apply.

They/them

She/her

He/him

Prefer not to answer

Other (I’ll add my response in the Comment Box below)

How do you identify?(Required)

Check all that apply.

Asian / Pacific Islander

Black / African Descent

Latinx

Native American / Indigenous

White / Caucasian

Mixed

Prefer not to answer

Other (I’ll add my response in the Comment Box below)

Do you need accommodation for a disability?(Required)

Check all that apply.

No, I do not require accommodation

Wheelchair accessibility

Subtitles / captions

ASL interpreting

Sensory accommodations (dim lights, quiet spaces, etc.)

Tone tags in written communication (/j for joking, /s for serious, etc.)

Prefer not to answer

Other (I’ll add my response in the Comment Box below)

Who is the primary audience for this training?(Required)

Be as specific as possible, and we’ll build the presentation around your needs.

What prompted your need for this training?(Required)

If your organization is in conflict, tell us the short version of what happened. We’ll unpack this story with you and your team in our listening sessions.

How much stress is your audience currently facing because of conflict?(Required)

1 – Low Stress

2

3

4

5 – High Stress

Does your audience have advanced knowledge of LGBTQIA+ issues?(Required)

We can tailor the content to make sure we’re providing new information rather than repeating what you already know.

1 – Basic Knowledge

2

3

4

5 -Expert Knowledge

Which training format would you prefer?(Required)

In-Person Training

Zoom Training

Are there additional modules you would like us to include?(Required)

Our training gives a full introduction to sexual orientation and gender identity, and a practical guide on LGBTQIA+ inclusion in your field.

ADMINISTRATION: How to creative inclusive forms and paperwork

STAFFING: Hiring that reflects your values and respects new hires

MARKETING: The sweet-spot between supportive messaging and “rainbow-washing”

YOUTH: Discover queer youth culture and special issues in care

RESOURCES: Point your clients to help in your area or online

Other (I’ll add my response in the Comment Box below)

How many people do you expect will attend?(Required)

5-10

11-25

26-50

50-100

100+

Organization's Address (In-Person Training only)

Locations over an hour from the LGBT Center of SE Wisconsin are charged $50 for each additional half hour of travel.

Street Address Address Line 2 City State ZIP Code

A/V HDMI Question (In-Person Training only)

Does your training space have a screen and sound system that we can connect to using an HDMI cable? We present a slide show that includes both video and audio.

Yes

No

Comment Box (Optional)

Is there anything else that you’d like us to know?

Your Consent(Required)

As detailed in the Privacy Policy, I consent to share my personal information with — and receive communications from — the LGBT Center of SE Wisconsin.

I agree with the Privacy Policy

Name

This field is for validation purposes and should be left unchanged.

Covid Notice

We strongly encourage masks to be worn in the Center. Covid protocol may change by CDC recommendation.

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1456 Junction Avenue
Racine, Wisconsin 53403

262-664-4100 | info@lgbtsewi.org

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