Safe Space Commitment: Event Response Form

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Please take a few minutes to work on this survey response form for any events, workshops, trainings, etc., that you participated in and want to include on your path for the Safe Space Commitment. Responses will be kept anonymous, and collection of names and emails is for record-keeping purposes only.

Email *

What is your name? *

What is your organization? (If you are signed up as an individual, write N/A) *

Which tier of the Safe Space Commitment are you signed up for? *

Individual

Friend

Ally

Accomplice

We are on a journey

Which training or workshop did you attend? *

When was it? *

YYYY

Please write a summary of your top take-aways from the training/workshop *

How will you use these takeaways in your life and/or organization? *

Would you be interested in sharing your experience/thoughts about this trainings with others in the Safe Space Coalition? *

Yes

Other:

Please use this space to write in any other thoughts or concerns

Send me a copy of my responses.

Submit

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