|
Dismantling Racism
Training Program Neighbors In Ministry (828) 883-2295 Dismantling Racism Training Request Form Organization Name:
_____________________________________________________ Number of
Participants: ________
Racial demographic of
participants: ______% Caucasian ______%African
American ______%Latino ______% Asian ______% Other Contact Name:
_________________________________________________________ Address:
______________________________________________________________ Phone:
__________________________(day)
_________________________(evening) Email:
________________________________________________________________ Please explain briefly
why you are requesting anti-racism training: Have members of your
organization received anti-racism training before?_______
If yes, what was the name of the training organization? ______________________________________________________________________ ______________________________________________________________________ |