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Green Dot Interest Form
We have one goal - to end power based personal violence - and it's going to take all of us to make that happen. By completing this form you're letting us know you'd like to attend a Green Dot Bystander Intervention Training which is a full day event focused on increasing your skills. We hold multiple trainings throughout the year and you will be contacted directly as space permits. Please contact Trish Snow with questions at (206) 296-2557 or
snowpatricia@seattleu.edu
.
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First Name
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Please enter your preferred name
Your answer
Last Name
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Your answer
SU Email
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Your answer
Phone
*
Your answer
Academic Major
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Graduation Year
*
Please enter your anticipated graduation year
Your answer
Graduation Term
*
Please enter your anticipated graduation term
Choose
Spring
Summer
Fall
Winter
Involvement
Please list any Seattle U organizations, clubs, teams, groups, etc. in which you are actively involved
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Availability
*
Which training dates are you available for? Mark all that apply.
Fall 2017
Winter 2018
Spring 2018
None of the above, but I'm still interested
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