Safe Zone Online Training Registration
This registration form serves two purposes. First, we are collecting your public information for display on the Safe Zone web site. Be sure to provide your answers as you wish to see them online. The second, half of the survey is confidential. There, we just want a broad overview of new member needs and how much experience our participants have had with conversation around LGBTQIPA+ topics. Your thoughtful responses will help us keep our training materials relevant.
Email *
Accessibility Note:
The current release of our Canvas training is accessible to screen readers, but our video and audio files are not captioned. If you have accessibility needs that we have not addressed (including transcriptions), please contact Dayna Henry at henryds@jmu.edu for assistance.
Web Section
The first half of this form is information for the Safe Zone website.
JMU Email Address:  *
This form collects your Google address and will send your confirmation message there. We may also use Google for sharing resources and staying in touch, but we keep those addresses confidential and do not share them with anyone. A JMU email address, however, is necessary to access the Canvas training site and the Safe Zone web page will use your eID as a link to the JMU Directory page for your contact information. Employees can control what information the JMU Directory displays through the Employee Tab of MyMadison under "Chosen Name/Campus Directory." 
First Name for the web site:
Enter the name you want us to use on the website.
Last Name for the web site *
Enter the name you want us to use on the website.
Pronouns for the web site
Due to the current political climate, the website is not currently showing pronouns. We hope this situation is temporary, however, so please enter pronouns appropriate for public use. 
Optional Title for the web site
Because of the gender-neutral options, here, the website also isn't showing forms of address. This is temporary, and the information still helps us address you with respect.
Department: *
In what JMU office or department do you primarily work? Students, please state "student," then your expected year of graduation. Also indicate your area of study, if you like.
Division:
In what organizational division is your office housed?x1
Optionally indicate other affiliations for the web site.
🏳️‍🌈 Should the website indicate that you have a professional specialty in LGBTQ+ topics?
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