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Service Requested for an Individual or Organization?
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Individual
Organization
Name
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Email
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Organization Name
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Phone
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Your Title
Organization Address
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Street Address
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Type of Service
*
Equity Presentations
Mentoring/ Coaching
Equity Certificates
Type of Training (1 Session or Series) - Choose as many as appropriate
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Equity Policy & Program Development
Equity Leadership Development
Individual/Mentoring
Team Development
Designing & Facilitating Meetings for Equity
Strategic Planning
Employee Orientation
Equity Operations Audit
Equity Project Management
Quality Management
Procurement Process
Organizational Culture Assessment
Diversity, Inclusion and Equity
Other
Number of Participants
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Less than 10
10-25
26 - 50
50 - 100
101+
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Start Day Time
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HH
MM
AM
PM
End Time
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HH
MM
AM
PM
Speaker/Consultant Participation Type
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Virtual
In Person
Both
Type of Event
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Staff Meeting
Education/School Systems
Conference
Dept/Org Meeting
Community Meeting
Other
Description/Additional Details about the type
(Ex: planning meetings, due dates for materials ,style of meetings...)
Event Address (In-Person)
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Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Type of Mentoring/ Coaching
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Human Development - Leadership
Human Development - Teams
Trainings - Equity & related topics
Trainings - Short and long-term
Planning - Strategic planning
Planning - Organizational Equity Audits
Planning - Operations
Planning - Quality
Planning - Procurement
Planning - Policy & Programs
Procurement Process
Grant Consultation - Concept review
Grant Consultation - Proposal Review
Grant Consultation - Technical Assistance
Educational Equity Development - Institutional Practices impact on Equitable Education
Educational Equity Development - Educators Role in Educational Equity
Educational Equity Development - Cultural Responsiveness and Anti-Bias in Education
Educational Equity Development - Equity Inside & Outside Classroom
Environmental Equity - Introduction to Environmental Equity
Environmental Equity - Environmental Equity and Policy
Environmental Equity - Equity and Engaging Leaders
Equity Certificates
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Select All
Equity Skill Building – Certificate
Train the Trainer – Certificate
Equity & Community Engagement – Certificate
Collaborative Partnership Management – Certificate
Environmental Equity - Equity and Engaging Leaders - Certificate
Collaborative Partnership – Certificate
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