VIVA Protected Space Coffee Hour Sign-Up Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

The VIVA Protected Space Coffee Hour is designed to provide Black, Indigenous, and People of Color (BIPOC) colleagues who work in VIVA member institution libraries with an opportunity to share their personal experiences, thoughts, and concerns. By listening to and learning from one another, we hope you will be able to share in positive change.

Please use this form to request participation in the Coffee Hour. Once we receive your response, please keep an eye out for a welcome message from the organizer in a few business days. Your responses, including all personal information, will be deleted after we successfully add you to the invitation list for the Coffee Hour.

The VIVA Protected Space Coffee Hour is for Black, Indigenous, and People of Color (BIPOC) who work in VIVA member libraries. How do you self-identify your race/ethnicity? *

Which VIVA member institution do you work at? *

Do you agree to respect the confidentiality of this space and only share what you see or hear there with the expressed permission of the author/creator/speaker? *

Yes

Please provide your institutional email address. (If you have a personal email address you would like to use after the initial sign-up, please let us know.) *

Please provide your name. (Optional)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms