Your Name:     

E-mail Address:     

Phone Number:     

Department:   

Emory Affiliation:
Select Affiliation Faculty Staff Undergraduate Student Graduate Student Alumni More than one of the above Other

Perfered Date/Time:
Select Date and Time June 15th - 9:00am-12:30pm August 2nd - 1:00pm-4:30pm September 8th - 9:00am-12:30pm October 19th - 1:00pm-4:30pm November 14th - 1:00pm-4:30pm

Other information/questions:

Training Agreement
I understand that the Safe Space training is voluntary and is not intended to be used as a required training program by my department, my supervisor, or the university.

By participating in the training, I pledge to:

1. Strive to further my own development, learning, awareness, and action related to all sexual and gender identities
2. Create an environment where members of queer communities do not have to censor their identities
3. Promote an atmosphere where queer individuals can participate fully, equitably, and openly in campus life without fear of discrimination and/or harassment
4. Promote a safe and affirming place for queer communities by offering an atmosphere and personal relationship of respect, fairness, and trust
5. Serve as a resource of information for students, faculty, and staff having questions about queer issues, and be willing to refer students to support and resources on campus and in the community
6. Maintain confidentiality

I have read and understand the training agreement:      Y N