2016 Inclusive Leadership Conference

1.

Thank you for your interest in the 2016 GSU Inclusive Leadership Conference on Friday, January 29, 2016.

The GSU Inclusive Leadership Conference is designed to help our academic communities create an understanding and appreciation for multiple identities through self-awareness while encouraging them to be free of misconceptions and prejudices through social justice education. Through interactive workshops and guided group discussions, participants will be able to:

-Articulate principles of social justice
-Recognize how their own experiences inform their leadership style and perceptions
-Understand the importance of diversity in leadership
-Identify dynamics of power and privilege when working in groups

If you have any questions, do not hesitate to contact us via email at diversity@govst.edu -- but don't forget, registrations are due by December 4, 2015!

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* Contact Information:

First Name:

Last Name:

Address:

City/Town:

State:

ZIP:

Preferred Email Address:

Phone Number:

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* Academic Classification:

Undergraduate Student

Graduate Student

Faculty

Staff or Administrator

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* Major/Program of Study (if you are a student):

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* How would you describe your involvement on campus (if you are a student)?

Haven't been involved much yet, but looking forward to participating in the this conference.

Somewhat involved. I've attended some campus events and programs.

Involved. I've attended some campus events and am a member of one or more student organization.

Very Involved. I consider myself a student leader on campus.

I am not a student.

Other (please specify)

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* How did you hear about the GSU Inclusive Leadership Conference?

EMail Announcement

Website

Social Media

GSUView Announcement

Referral from Faculty or Staff

Other (please specify)

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* Gender (check all that apply):

Female

Male

Prefer not to answer

Other (please specify)

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* Race (check all that apply):

American Indian or Native Alaskan

Asian

Asian-Indian

Black or African-American

Multiracial

Native Hawaiian or other Pacific Islander

White

Prefer not to answer

Other (please specify)

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* Latino/Hispanic origin:

Yes

Prefer not to answer

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* Dietary Restrictions:

Vegetarian

No dairy

No beef/pork

Other (please specify)

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* Are you interested in serving as a conference volunteer?

Yes