LGBTQ+ Culture Center Training Outreach Program Request Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thanks for your interest in the Training Outreach Program (TOP)! Please fill out this form to request a session. We cannot guarantee that all requests will be approved.

Email *

What is the name of your organization? *

The TOP is open to departments, offices, student organizations, clubs, and Greek organizations at Indiana University.

What is your name? *

What is your role at the organization? *

Please provide a phone number where we can reach you. *

How did you hear about the Training Outreach Program? *

LGBTQ+ Culture Center's website

Referred by a colleague or supervisor

Referred by a campus office (e.g. other culture center, OVPDEMA, Student Involvement)

Student Educator or other affiliated trainer

Poster or handout

Newsletter or group email

Social media

Other:

Required

How many people will be in attendance? *

Please aim for a size of around 20 people or less. We can accommodate sessions up to around 30 people. If you have more participants than that, please note it here and we will discuss it with you.

In general, how much experience do your organization members have with LGBTQ+ issues? *

Very experienced

Somewhat experienced

Little or no experience

Resistant to LGBTQ+ issues

I don't know

First Choice Time *

Please choose a date at least 2 weeks from today. Allow 2 hours for the session, and a few minutes of buffer time on each side.

YYYY

Time

Second Choice Time *

Please choose a date at least 2 weeks from today. Allow 2 hours for the session, and a few minutes of buffer time on each side.

YYYY

Time

Third Choice Time *

Please choose a date at least 2 weeks from today. Allow 2 hours for the session, and a few minutes of buffer time on each side.

YYYY

Time

Where will the session be held? A projector is required. *

You are responsible for finding and reserving an appropriate space on Indiana University Bloomington's campus. We can also do sessions via Zoom. If you are waiting on a final date and time before making a reservation, please note that here and list the location you are expecting to reserve.

In a few sentences, why did you decide to request a session? What do you hope to get out of this session? *

What are the three (or so) most important things your organization does? (events, processes, administrative functions, etc.) *

This helps us understand what your goals are and the ways that we might be able to improve your systems.

The second half of the session is an open-discussion format. What can we talk about with you to enhance your organization's policies & procedures for LGBTQ+ people? Provide 3 ideas - we will likely not use all of them. *

Some ideas: Review a specific form or publication; review a policy or procedure; discuss a specific incident; discuss a what-if scenario; inclusion of LGBTQ+ issues in coursework. Your trainer might also have some ideas to share.

Clear form

Never submit passwords through Google Forms.

This form was created inside of Indiana University. Report Abuse

Forms