Triangle Speakers Training Registration Form
Thank you so much for your interest in becoming trained with Triangle Speakers, a program of the Diversity Center of Santa Cruz County.

Please pre-register below - we will follow up with a confirmation email and further details closer to the event. We will provide breakfast and lunch. Training is at no cost to you.

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How did you hear about the training?
Chosen Name
How you want us to address you
Legal First Name (What we will see on your ID/Driver's License)
We need this for when we process livescan results
Legal Last Name (What we will see on your ID/Driver's License)
We need this for when we process livescan results
Street Address
City, State, Zip
Email address
What language/s do you speak fluently?
Home phone number
Can we say we are calling from Triangle Speakers?
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Work phone number
Can we say we are calling from Triangle Speakers?
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Mobile phone number
Can we say we are calling from Triangle Speakers?
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Date of Birth
MM
/
DD
/
YYYY
Ethnicity
Please include all that apply
Sexuality
Gender Identity
Pronoun you would like us to use
Please share with us anything from your background that might be helpful to us in placing you on panels
Food Choice
If you have any food sensitivities/allergies please check 'Other' and let us know
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Are you a trained Triangle Speaker? Is this a refresher training for you?
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If you are a trained Speaker would you be willing to volunteer on the day of?
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Do you need transportation to the training?
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Are you available to carpool to the training?
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