OIE Educational Training Program Request Contact InformationFirst Name:* Last Name:* What is your affiliation with the University?* Student Faculty Member Staff Member Other Phone*Email* Department/Student Group* Your Role/Title in the Department/Student Group* Campus* Training InformationNumber of People Anticipated to Attend the Training Program* Audience (check all that apply)* Undergraduate students Graduate students who are Graduate Assistants Graduate students who are not Graduate Assistants Faculty and/or Staff Other Reason for Training Request, including goals you hope to accomplish through training*Best month, days and/or times for training program:* Your requested length of time for training program: Please note that most training programs require a minimum of 30 minutes.* Requested location for training program (building and room number) Please note the presentation will likely require technology to accomodate slides including videos with sound.* Which presentation best fits what you are hoping to learn from the training (check one):* Title IX: Reporting and Resources Prevention and Response to Discrimination and Discriminatory Harassment Disability Access and Accomodation Other Full training descriptions can be found at equity.uconn.edu/education-and-trainingHave you had similar presentations, including but not limited to from OIE, to your group, department or area in the past year? If so, please explainAny additional comments/information that you wish to share to help us in designing and customizing your training program to meet your needs?NameThis field is for validation purposes and should be left unchanged.