(Saudi Arabian, Chinese, Dominican, etc.) Profession:______________________________________ School/Organizational Affiliation:_____________________________________ REGISTRATION 2016 What is your motivation for attending this Anti-Discrimination Clinic? What do you hope to come away with by the end of this Clinic? What specific issues or concerns do you have in your school, organization and/or community that you would like us to address during this Clinic? How did you hear about this training?
(Saudi Arabian, Chinese, Dominican, etc.) Profession:______________________________________ School/Organizational Affiliation:_____________________________________ REGISTRATION 2016 What is your motivation for attending this Anti-Discrimination Clinic? What do you hope to come away with by the end of this Clinic? What specific issues or concerns do you have in your school, organization and/or community that you would like us to address during this Clinic? How did you hear about this training?
Bronx_Anti_Discrimination_Clinic-REGISTRATION_FORM_ADULTS.docx