Office for Equal Opportunity
Workshop Registration Form
Equal Opportunity Institute 2009-2010

To all EOI Participants:

Please select from the required and elective courses below to complete your EOI Individual Plan. Remember that you must select workshops for all 3 required courses and at least 7 electives. If you have questions, please contact Beverly Jones Williams at beverly_williams@ncsu.edu, or call 919-513-3836.

If you are not an EOI participant but would like to register for a course offered by the Office for Equal Opportunity, please go to the OEO Workshop Registration Form . Thank you!
Complete this form only after you have attended EOI Orientation.
As new courses are added, you may submit this form additional times to register for additional courses. When submitting the form additional times, you do not need to re-select the courses for which you have already registered. You also do not need to resubmit your goal.
If you cannot attend a course for which you registered, please email or notify Gloria Hunt at gloria_hunt@ncsu.edu or 919-515-1151 as soon as possible. Thank you!
If you are unable to submit this form electronically, you may print it and fax or send it to the following address:

Equal Opportunity Institute
Box 7530
NC State University
Raleigh, NC 27695-7530
Fax: 919-513-1428

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

Registration Deadlines
Please submit this form by:	--
Participant Information
Last Name:
First Name:
ID Type (If you are affiliated with NC State University, please use NC State ID Number):
ID Number:
CEU Number or Birthdate (if you wish to receive Continuing Education Credits, please enter in MMDDYYY format):
Accommodations for individuals with disabilities: Individuals with disabilities desiring accommodations to participate in these activities, please contact our office at least two weeks prior to each workshop. NCSU takes seriously its obligation to accommodate the known disabilities of its faculty, staff, students, and guests. Our goal is to make the campus a place where all can participate in a barrier-free environment.
Required Courses You must attend one of each of the following 3 required workshops.
Americans with Disabilities Act (ADA)	Tue, Oct 27, 2009 (1:30-4:30), Room 101, Administrative Services Building II Thu, Mar 11, 2010 (1:30-4:30), Room 101, Administrative Services Building II I have already taken this workshop. Please remove me from this workshop.
Discrimination and Harassment Prevention and Response	Tue, Oct 20, 2009 (1:30-4:30), Room 101, Administrative Services Building II Tue, Feb 23, 2010 (9:00-12:00), Room 101, Administrative Services Building II I have already taken this workshop. Please remove me from this workshop.
Equal Employment Opportunity and Affirmative Action	Tue, Oct 13, 2009 (1:30-4:30), Room 101, Administrative Services Building II Wed , Feb 3, 2010 (1:30-4:30), Room 101, Administrative Services Building II I have already taken this workshop. Please remove me from this workshop.
Equal Employment Opportunity Institute (EEOI) (This course is intended for employees and can substitute for the previous three required courses. Preference is given to SPA Managers and Supervisors.)	I have already taken this workshop. I plan to take this workshop and will register in the NC State eLearning system. Please remove me from this workshop.
Elective Courses You must attend a minimum of 7 of the following elective workshops. Note: An asterisk () indicates that you can receive LDS credit for attending the workshop.*
Please note: Workshop registration is monitored five (5) working days before each class. Each class must have a minimum of 10 participants; classes that do not meet the minimum are subject to cancellation.
Affirmative Action in Action	Wed, Apr 7, 2010 (9:00-12:00), Blue Room, Talley Student Center Please remove me from this workshop.
Diversity, Discrimination & Affirmative Action	Wed, Feb 24, 2010 (1:00-4:00), Brown Room, Talley Student Center Please remove me from this workshop.
The EEOC (Equal Opportunity Employment Commission)	Thu, Oct 29, 2009 (9:00-12:00), Room 3118, Talley Student Center Please remove me from this workshop.
Equal Opportunity Jeopardy	Thu, Apr 15, 2010 (9:00-12:00), Blue Room, Talley Student Center Please remove me from this workshop.
Exploring Oppression	Wed, Dec 2, 2009 (9:00-12:00), Room 3118, Talley Student Center Please remove me from this workshop.
Generations at Work	Thu, Sep 17, 2009 (1:30-4:30), Room 212, Administrative Services Building II Mon, Nov 2, 2009 (1:30-4:30), Room 212, Administrative Services Building II Please remove me from this workshop.
Legacies + Layers = Lenses (Campus Diversity Conflicts: Methods for Managing the Unmanageable)	Spring, TBA Please remove me from this workshop.
The Protected Class of Age	Spring, TBA Please remove me from this workshop.
The Protected Class of Disability	Tue, Feb 16, 2010 (1:00-4:00), Brown Room, Talley Student Center Please remove me from this workshop.
The Protected Class of National Origin	Wed, Nov 18, 2009 (9:00-12:00), Walnut Room, Talley Student Center Please remove me from this workshop.
The Protected Classes of Race and Color	Wed, Nov 4, 2009 (9:00-12:00), Room 3118, Talley Student Center Please remove me from this workshop.
The Protected Classes of Religion and Creed	Thu, Mar 4, 2010, (1:00-4:00) , Brown Room, Talley Student Center Please remove me from this workshop.
The Protected Class of Sex	Wed, Oct 21, 2009 (9:00-12:00), Room 3118, Talley Student Center Please remove me from this workshop.
The Protected Class of Veteran Status	Tue, Nov 10, 2009 (1:00-4:00), Blue Room, Talley Student Center Please remove me from this workshop.
EOI: Special Topics for Managers & Supervisors	Wed, Mar 31, 2010 (9:00-12:00), Blue Room, Talley Student Center Please remove me from this workshop.
Study Circles on Race and Race Relations (counts as 2 electives)	Fall, 2009 (To select your session, you must register on the Moving from Dialogue to Action website.) Spring, 2010 (To select your session, you must register on the Moving from Dialogue to Action website.) Please remove me from this workshop.
Title IX	Thu, Feb 4, 2010 (1:00-4:00), Brown Room, Talley Student Center Please remove me from this workshop.
Valuing Differences Through Diversity	Mon, Dec 7, 2009 (1:30-4:30), Room 212, Administrative Services Building II Spring, TBA Please remove me from this workshop.
Building Bridges: Leading Diverse Groups Through Conflict (For additional NCBI workshops, see the NC State NCBI website.)	Wed, Jan 27, 2010 (1:00-4:00), Brown Room, Talley Student Center Please remove me from this workshop.
Building Bridges: Strengthening Leadership for Diverse Communities: Parts I & II (NCBI) (For additional NCBI workshops, see the NC State NCBI website.) (counts as 2 electives)	Thu, Nov 12, 2009 (9:00-4:30), Brown Room, Talley Student Center Thu, Apr 8, 2010 (9:00-4:30), Brown Room, Talley Student Center Please remove me from this workshop.
LDS: Building Bridges: Strengthening Leadership for Diverse Communities (NCBI) - Part 1*	Wed, Oct 28, 2009 (6:30-9:30), Room 3118, Talley Student Center Tue, Mar 2, 2010 (6:30-9:30), Blue Room, Talley Student Center Please remove me from this workshop.
LDS: Building Bridges: Strengthening Leadership for Diverse Communities (NCBI) - Part 2*	Tue, Nov 3, 2009 (6:30-9:30), Room 3118, Talley Student Center Please remove me from this workshop.
LDS: Building Bridges: Leading Diverse Groups Through Conflict (NCBI)*	Tue, Nov 17, 2009 (6:30-9:30), Room 3118, Talley Student Center Tue, Mar 9, 2010 (6:30-9:30), Blue Room, Talley Student Center Please remove me from this workshop.
LDS: Cross Cultural Communication*	Thu, Nov 19, 2009 (6:30-9:30), Walnut Room, Talley Student Center Thu, Jan 28, 2010 (6:30-9:30), Walnut Room, Talley Student Center Please remove me from this workshop.
LDS: Leadership & Social Justice*	Wed, Nov 4, 2009 (6:30-9:30), Room 3118, Talley Student Center Mon, Mar 8, 2010 (6:30-9:30), Room 3118, Talley Student Center Please remove me from this workshop.
LDS: Leadership Tools for Women*	Tue, Oct 27, 2009 (6:30-9:30), Walnut Room, Talley Student Center Tue, Feb 16, 2010 (6:30-9:30), Walnut Room, Talley Student Center Please remove me from this workshop.
LDS: Project Safe*	Tue, Oct 13, 2009 (6:30-9:30), Blue Room, Talley Student Center Wed, Feb 17, 2010 (6:30-9:30), Blue Room, Talley Student Center Please remove me from this workshop.
LDS: Working with Diverse Populations*	Thu, Nov 5, 2009 (6:30-9:30), Walnut Room, Talley Student Center Thu, Feb 18, 2010 (6:30-9:30), Walnut Room, Talley Student Center Please remove me from this workshop.
Optional Events We look forward to seeing you at these complimentary events for EOI participants.
EOI Mid-Year Reflection Lunch	Wed, Jan 20, 2010 (12:00 - 1:30), Room 2301, Student Health Center
EOI Graduation	Thu, May 6, 2010 (10:00-12:00), Room 126, African American Cultural Center, Witherspoon
Program Goals
Please provide a brief statement of the personal goals that you hope to achieve by attending the Equal Opportunity Institute. (Note: You do not need to resubmit your goal if you have already submitted it.) I am submitting an updated goal.
Special Needs or Concerns
Please provide information about any special needs, circumstances, or concerns that you may have.
Comments
Please provide any notes or comments on your registration or registration updates.
Submit Your Plan
By submitting this plan, you agree to complete the workshops that you have selected to graduate from the NCSU Equal Opportunity Institute. Note: NCSU Employees must ensure that your supervisors review and approve your course plan.
Form last updated on 10/25/09 by EMS

Office for Equal Opportunity Workshop Registration Form Equal Opportunity Institute 2009-2010

To all EOI Participants:

Office for Equal Opportunity
Workshop Registration Form
Equal Opportunity Institute 2009-2010