Sign-Up For Community Safe Zone Training

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.

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)

How do you identify?(Required)

Check all that apply.

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)

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)

Comment Box (Optional)

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

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

Community Safe Zone Training Sign-Up