Allies Advance Workshop Registration

Dolphin Allies Advance Workshop Registration
Interested parties can submit their requests to attend a Dolphin Allies Advance Workshop by completing the form below. The information on this form will be sent to the Advance Coordinators. You will receive a confirmation (usually through email) for the date and time of your scheduled workshop.
Registration for each Advance is limited to a maximum of 15 participants. Registration requests should be submitted at least 48 hours in advance of the preferred workshop date to allow time for the Advance Coordinators to confirm your registration.
First Name:*
Last Name:*
E-mail:*
Phone:
What is your primary status at JU?

FacultyStaffStudentCommunity Member
Please rank your preferred workshop dates.
First Choice*
Second Choice*
What is your gender?

MaleFemaleTransgender
How did you hear about Dolphin Allies or the Advance Workshop?

Allies Web PageNavigator AdvertisementFlyer/PosterLetter/MailingResource TableA Current AllyResidential Life staff member
How would you rate your current knowledge level about LGBT issues?*

MinimalAverageProficient
How would you rate your current comfort level in talking about LGBT issues?*

Very UncomfortableUncomfortableComfortableVery Comfortable
Why are you interested in becoming an Ally and what do you hope to get out of the Workshop?*
Please indicate here if you have any special accommodation requests or needs for the workshop.
Should be Empty:

Dolphin Allies Advance Workshop Registration