University of Southern Indiana Ally List
Please fill out this form in its entirety. Name, Pronouns, Department, and Email will be included on the list. Any questions can be directed to Brianna at blaldana_se@eagles.usi.edu.

Full time staff members & university employees, full time faculty members, and adjunct faculty members are eligible to be placed on the ally list if they have completed ally training or something equivalent. If you have not completed ally training but would like to in order to be on the list, please indicate that on the form so we can reach out.
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Name
Pronouns (if you prefer not to share your pronouns on the list, you can put Ask for my Pronouns or Prefer not to Share)
University Department
University Email
Have you undergone Ally Training or something equivalent? If so, when did you last complete it and where did you complete it?
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