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University of Utah COVID-19 Updates
The University of Utah
Office for Inclusive Excellence
Equity, Diversity, & Inclusion
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Consultation Information
Consultation Request(s)
Contact Information
*Indicates a required field.
First Name
Last Name
Department or Organization
Phone
(e.g. xxx-xxx-xxxx)
Email
Email Confirmation
Consultation Information
Type of Educational Resources
Inclusive Teaching Strategies
Campus Climate
Bias & Microaggressions
Facilitating difficult conversations
Other
If other, please indicate
type of training.
Audience
Faculty
Staff
Students
What prompted this request?
Educational Goals & Outcomes
(area which needs special focus)
Number of Attendees
Are attendees required to be there?
Yes
No
Educational Presentation(s) & Consultations
(building and room number)
Are there any accommodations needed?
(For example, assistance for those who are blind, deaf, or need interpreters)
Preferred Dates and Times
Please indicate the dates and times you would like the educational presentation or consultation. We will make every effort to accommodate your first choice.
A minimum of three weeks advance notice is required.
First Choice Date
First Choice Time Range
to
Second Choice Date
Second Choice Time Range
to
Third Choice Date
Third Choice Time Range
to
Room Capabilities for Presentation & Consultations
PowerPoint projection ready?
Yes
No
If there is no PowerPoint projection ready, what equipment is available?
Audio Available?
Yes
No
Last Updated: 5/11/21