Anti-Racism Employee Training Registration
Register to participate in our anti-racism training session. Please provide your details and preferences below.
Full Name
*
First Name
Last Name
Work Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Department or Team
*
Please Select
Human Resources
Finance
Operations
IT
Sales
Marketing
Other
Job Title
*
Preferred Training Session Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Have you previously participated in anti-racism or diversity training?
*
Yes
No
Please specify any dietary restrictions or accessibility needs
What do you hope to gain from this training? (Briefly describe your expectations or goals)
How did you hear about this training?
Please Select
Internal email
Manager/Supervisor
Company intranet
Colleague
Other
Please rate your current understanding of anti-racism concepts
*
Beginner
1
2
3
4
Advanced
5
1 is Beginner, 5 is Advanced
Register
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