Free Diversity Workshop Registration Slip HR Template

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Free Diversity Workshop Registration Slip HR Template

Diversity Workshop Registration Slip

This registration form is designed to collect essential information from participants like you to ensure a smooth and tailored experience during the workshop. Diversity and inclusion are crucial aspects of creating vibrant, innovative, and equitable environments in today's world.

Full Name:

[YOUR NAME]

Company Name:

[YOUR COMPANY NAME]

Email Address:

[YOUR EMAIL]

Contact Number:

[YOUR CONTACT NUMBER]

Job Position:

[YOUR JOB POSITION]

Demographic Information (Optional):

  • Male

  • Female

  • Non-Binary

  • Caucasian/White

  • African American/Black

  • Hispanic/Latinx

  • Asian

  • Indigenous/Native

  • Other

Please indicate which sessions you would like to attend:

Session 1:

Session 2:

Session 3:

Session 4:

Any Dietary Restrictions:

  • Yes

  • No

Accessibility Needs (please specify if applicable):

  • Dietary Restrictions

  • Mobility Assistance

  • Sign Language Interpreter

  • Other

Please indicate your reasons for attending this workshop (check all that apply):

  • Personal interest

  • Professional development

  • Organizational requirement

  • Promoting diversity and inclusion

  • Other: ____________________

Please list any specific expectations or goals you have for this workshop:

How did you hear about this workshop? (check all that apply):

  • Email

  • Social Media

  • Colleague or Friend

  • Company/Organization Announcement

  • Other: ____________________

Emergency Contact Information:

Name:

Relationship:

Phone Number:

I acknowledge that my participation in this Diversity Workshop is subject to the terms and conditions outlined by the organizers, including any workshop fees, cancellation policies, and code of conduct.

Signature:

Date: [September 26, 2050]

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