NIU Ally Program
Training Registration Form: Fall 2013

Thank you for your interest in being part of the NIU Ally Program! We appreciate your interest in helping create an inclusive campus community for our lesbian, gay, bisexual, and/or transgender, and/or queer/questioning (LGBTQ) students, colleagues, and families.

Fall 2013 Training Dates (you must attend both Part I and Part II):

Part I:

Monday, September 9 2:00pm-4:00pm
Thursday, September 12 10:00am-12noon
Wednesday, September 18 6:00pm-8:00pm
Friday, September 20 10:00am-12noon
Part II:

Monday, September 23 2:00pm-4:00pm
Thursday, September 26 10:00am-12noon
Friday, October 4 10:00am-12noon
Wednesday, October 16 6:00pm-8:00pm

NOTE: If you are not able to attend a Part I AND a Part II at the times offered above,
please STOP here and instead complete our
Ally Training Waiting List Registration to have your name placed on the waiting list to be contacted for a future training opportunity.  Thank you.

To proceed with registering for the current training workshops, please complete the following form.

All fields must be filled out completely.

Section 1: Contact Information

Name:
NIU Email Address:

(An NIU email address is required for Student, Faculy and Staff participation in the program. A preferred email address is required for all other participants.)
Helpful tips for using your NIU email
For students
Area of study:
Status:
For Residence Hall staff members
Which Residence Hall:
For Faculty, Staff, Graduate Assistants
Department:

Section 2: Workshop Selection

Part I:

Part II:

Section 3: LGBT Knowledge

Prior to the training workshop, we would like to know a little bit about you. Please help us prepare for your training experience by answering the following questions.

1. Please tell us why you are interested in volunteering for the Ally Program:

2. What kind of previous knowledge do you have with LGBT identity/issues/topics (i.e. personal experiences, classes, work, training)?

3. Overall, how would you rank your current knowledge level about LGBT identity (pick one):
Low (It’s all new to me, but I’m ready to learn!)
Moderate (I have a friend …)
High (I’ve actually read some books or taken a class …)
Very High (I know so much, I am the rainbow!)

You will receive an email confirmation close to your training date. Your confirmation will contain the dates, times and locations for your training workshops as well as additional information. An email will also be sent if your requested date is full.

Please print the confirmation page for your records.