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Fall 2016 Diversity Dialogue Application Form -- deadline Monday, September 12th at noon

Please correct the field(s) marked in red below:

The Tempe Diversity Office is accepting applications for the 2016 Fall Diversity Dialogue Program.  The program runs for six consecutive Monday evenings from 6-7:45 p.m. in the lower level of the Tempe Public Library.  The dates are as follows:

September 12,19, 26
No program on October 3 due to Fall Break
October 10, 17, 24 

This Diversity Dialogue series will have a focus on Community Policing, with one week devoted to dialogue with our Tempe Police Department -- Chief Sylvia Moir.
 

Pizza will be served at 5:30 each week.  The program begins promptly at 6 p.m.

This information is required.
 *
This information is required.

The following optional information will help us make the groups diverse and facilitate conversation.  Information will be kept confidential

The following optional information will help us make the groups diverse and facilitate conversation. Information will be kept confidential

What is your sexual orientation?

What is your sexual orientation?
Do you have a disability?
 *
Do you have a disability?
What is your disability (optional)?
What do you hope to gain from your participation?
Signature (by typing your name you are verifying your application to the Diversity Dialogue Program):
 *
Signature (by typing your name you are verifying your application to the Diversity Dialogue Program):
  1. To receive a copy of your submission, please fill out your email address below and submit.