Safe Zone Ally Registration

First and Last Name *

Please use the name you would like us to use in communication with you.

Pronouns

What pronouns do you use? (ex: she/her/hers, they/them/theirs, he/him/his)

Email *

Role *

(ex: Undergraduate Student, Communication Studies Professor, NISG President)

Organization/Department *

Ex: Where you work on campus or the organization you belong to. You may also put "not affiliated."

UNI ID Number *

If you are a community member without a student ID, please write 000000.

Which phase(s) are you interested in? *

Phase One

Phase Two

Phase One Preferred Date *

Phase One: January 12, 10:00 - 11:30 AM

Phase One: February 19, 10:30 AM - 12:00 PM

Phase One: March 9, 1:00 - 2:30 PM

Please select the date and time you would prefer to attend. Please note that the all-campus Phase One training sessions below are 1.5 hours long and you must attend the entire time for credit.

Have you completed Phase One in the last year? *

Yes (Select yes if you have registered for an upcoming date)

Unsure

No (Your registration will not be processed)

You must complete Phase One prior to Phase Two.

Phase Two Preferred Date *

Phase Two: January 12, 12:30 - 2:30 PM

Phase Two: February 19, 1:00 - 3:00 PM

Phase Two: March 11, 1:00 - 3:00 PM

All Phase Two trainings are 2 hours long. You must attend the entirety of the training to receive credit.

Are there any accommodations you may need for this training?

We encourage individuals with disabilities to participate in the Safe Zone Ally training. If you are a person with a disability, please let us know in advance how we can work together to ensure your equal participation. Examples may include transcripts of videos, larger size text on print outs, or a particular seat. Feel free to contact us for more specific clarification.

I am participating in this training voluntarily *

Yes

No

As allyship is a personal commitment and our allies serve as on-campus resources, participation in Safe Zone Ally training should not be mandated by employers and is not an appropriate class assignment or extra credit opportunity.

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