North Carolina State University
Office for Equal Opportunity
Discrimination and Harassment Prevention and Response Training Registration Form

To all NC State Employees:

In June 2007, NC State approved a regulation that requires every employee to participate in a program targeted at preventing and responding to discrimination and harassment.

The Office for Equal Opportunity provides this training. There are several options for completing the training requirement, including:

Completing the Online Discrimination and Harassment Prevention and Response Training;
Registering for an open enrollment session below; or
Scheduling a training session for your department or unit by contacting the Office for Equal Opportunity at 919-513-1234.

The training, in any format, lasts approximately one hour.

You may have already fulfilled the training requirement by attending New Employee Orientation on campus within the past two years, completing the Equal Opportunity Institute, participating in the Supervisory Series, or attending a program coordinated by your department. If you think you have already fulfilled the requirement, please complete the section of this form titled "Previously Fulfilled Requirement."

In addition, supervisors are required to complete an additional supervisor-specific training program. The supervisor program is separate from the program required for all employees, and it should be completed only after a supervisor has participated in the general session. As of now, supervisor-specific sections are available through open enrollment (below) and departmental scheduling through the Office for Equal Opportunity.

NC State's Discrimination and Harassment Prevention and Response Training regulation requires that all current employees complete this training. Please meet your requirement as soon as possible!

Thank you for your help in eliminating discrimination and harassment at NC State.

Note: You may alternately use the secure version of this form.

Employee Information
Last Name:
First Name:
Employee ID Number:
Email:
Phone:
College or Division:
Department:
Job Title:
Campus Box:
Supervisor's Last Name:
Supervisor's First Name:
Supervisor's Phone:
For All Employees If you have already fulfilled this training requirement, please select "I have already fulfilled this requirement" and complete the section titled "Previously Fulfilled Requirement" below.
Title: Discrimination and Harassment Prevention and Response Training - Open Enrollment	DHPR training sessions are ongoing. If you are interested in attending a live training session, please contact the Office for Equal Opportunity at 919-513-1234 or amy_circosta@ncsu.edu to inquire about available dates and times. Thank you. You may alternately complete your mandatory training requirement by taking the Discrimination & Harassment Prevention & Response Online Training. I have already fulfilled this requirement.
For Supervisors Please note that supervisors must attend a general session before signing up for the supervisor-specific session.
Title: Discrimination and Harassment Prevention and Response Training - For Supervisors	Note: This session is to be completed by supervisors AFTER completion of an approved DHPR training program. CLOSED - 12/15/08, 4:00 - 5:00 pm CLOSED - 1/13/09, 4:00 - 5:00 pm CLOSED - 2/18/09, 11:00 am - 12:00 pm CLOSED - 3/16/09, 4:00 - 5:00 pm CLOSED - 4/29/09, 8:30 - 9:30 am CLOSED - 5/14/09, 4:00 - 5:00 pm There are no new sessions scheduled at this time. Please check back for additional sessions. Thank you.
Cancellations
Please note: Training sessions are subject to cancellation due to low enrollment. Registrants will be notified of a cancellation at least two business days prior to the session.
Location
The location for all sessions, unless otherwise noted, is the Environmental Health & Safety Building Training Room. The Environmental Health & Safety Building is on Central Campus, on this Central Campus map: http://www.ncsu.edu/campus_map/central.htm. It is building #210, near the Wolf Village Apartments and the Administrative Services Buildings.
Parking
There is a large "C" lot across the street from the EH&S building, and there is also a large "EM" lot nearby on Varsity Drive. The EH&S building is also accessible by the Wolfline bus system. The Office for Equal Opportunity does not provide parking passes.
Accommodations
Individuals with disabilities desiring accommodations, please contact our office at 919-513-1234 at least two weeks prior to your session.
Previously Fulfilled Requirement
If you selected "I have already fulfilled this requirement" above, please check all of the previous discrimination and harassment prevention and response training programs that you have completed: New Employee Orientation (within the past two years) Online Training Module Equal Opportunity Institute Supervisory Series Other. Please provide course title:
Submit Your Registration
By submitting this registration, you agree to attend the session that you have selected. Note: All employees must ensure that your supervisors approve your attendance at the session you have selected.
Form last updated on 5/12/09 by EMS

North Carolina State University Office for Equal Opportunity Discrimination and Harassment Prevention and Response Training Registration Form

To all NC State Employees:

North Carolina State University
Office for Equal Opportunity
Discrimination and Harassment Prevention and Response Training Registration Form