Allies Workshop Request Form

If you are interested in having Allies trainers come facilitate a workshop for your class, club, organization, department, etc., please answer the following questions and submit your request. An Intercultural Center Staff Member will get back to you as soon as possible. Should you have any questions, or need more immediate assistance, please feel free to contact the Intercultural Center directly (415) 422-6484.

* Required

Name of the person requesting workshop*
Email Address
Phone Number
Department, group, class, etc., for whom the workshop will be implemented *
Date requested * On what day would the workshop take place (MM/DD/YYYY)?
Time requested * What time would the workshop take place?
Amount of time allocated * How much time would the facilitators have to facilitate the workshop?	50 minutes 90 minutes 120 minutes Other If other:
Are there any other relevant details you wish to share?