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Spring 2017 Diversity Dialogue Application Form -- application deadline is Tuesday, March 28th at noon

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

The Tempe Strategic Management & Diversity Office is accepting applications for the 2017 Spring Diversity Dialogue Program.  The program runs for six consecutive Tuesday evenings from 6-7:45 p.m. in the lower level of the Tempe Public Library.  The dates are as follows:

March 28
April 4, 11, 18, 25
May 2 

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.