Diversity Dialogue Interest Form
Please complete this form if you have a topic you would like to suggest for a Diversity Dialogue and/or if you are interested in leading a Dialogue.

Diversity is defined broadly, and includes topics around the following cultural identities:
- Racial or ethnic identities,
- Gender identities and expressions,
- Sexual orientations,
- Political affiliation, opinions or beliefs,
- Religious beliefs,
- Social classes,
- Immigrant backgrounds,
- Physical or observable disabilities,
- Psychological, or other disabilities that are not readily apparent,
- Veteran statuses, and
- Ages

The format of the dialogues can look differently depending on the facilitator or host. It may be a faculty/staff member who facilitates a conversation by addressing and reflecting on specific prompts, a student or student group who leads a conversation around a specific topic, hosting an individual/panel from the community who will facilitate a dialogue, or an original idea that you have.
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Your Name / Student Group *
Your email *
Your position at UMR *
Proposed Topic *
Title & Description
Are you interested in hosting/facilitating the Dialogue? *
Questions about hosting/facilitating can be addressed in the comment box below.
When would you like to propose this Dialogue?
Choose from one of the scheduled dates, or you may propose another date. Fall 2022 Diversity Dialogue Schedule: https://docs.google.com/document/d/1zncDsqisTsOdSIQQeKJKPiV5eUZcOfytT5tf_C6xUbE/preview
Any other questions, comments, or concerns?
Submit
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