Home About Us Our Staff Forms Accommodations Recruit Diversity Unconscious Bias Diverse Advertising Interview Questions Policies Laws & Policies Complaints/Grievances Nondiscrimination Notice Training & Development Training Request ATLAS Certificate ATLAS Guest Lecture D & I Certificate AA Rep Certificate Youth Protection Executive Order 54 Title IX Contact Us Training Request Executive Order 54 ATLAS Certificate Program Diversity and Inclusion Affirmative Action Representative Youth Protection Title IX Request us as a Guest Speaker or for a Training To request a speaker from the Office of Equal Opportunity, Equity & Affirmative Action in a classroom, program, project, or meeting, please turn in this completed form to Dr. Brian Xiong, Director of EOEAA, at UWO campus (Dempsey Hall #328), or email your request to xiongbv@uwosh.edu. Upon receipt, EOEAA will review all documentation and reply to requestors with a decision regarding proposed level of involvement within 5 business days.YOUR INFORMATIONRequestor's Name* First Last Requestor Phone Number*Requestor's Email* Department/Unit* Campus*UW OshkoshUW Fond Du LacUW Fox ValleyREQUEST DETAILSIs this request for a:*ClassroomProgramProjectMeetingOtherName of Course, Program, Project, or Meeting*Date for Event* Start Time:* : HH MM AM PM End Time:* : HH MM AM PM Location / Meeting Room:*(Location you reserve must be powerpoint accessible.)Other Details About Request:Type of Training RequestedSexual Harassment TrainingTitle IX TrainingAnti-DiscriminationUnconscious BiasMicro-AggressionsOther (please describe in comment box at end of form)Additional Comments:Comments / Additional Information: Contact Us Dempsey Hall 337 (920) 424-1166 (920) 424-2021 afaction@uwosh.edu Monday-Friday 7:45 a.m.-4:30 p.m. Equal Opportunity, Equity & Affirmative Action Securing equity and fairness at UW Oshkosh.
