Qualtrics Survey | Qualtrics Experience Management

Fill out this form to invite the Office of Civil Rights and Title IX to present to your unit. Completing this form is not a guarantee that OCRTIX will be available. Please complete the form at least 2 weeks in advance whenever possible. After you complete the form, and email will be send to the OCRTIX email account. A member of the OCRTIX team will be in contact with you to discuss our availability.

Name

KU email

Name of department, unit, office, organization, etc.
Example: "English department" or "The Commons"

Which program are you requesting?

Introduction to OCRTIX (mandatory reporting, protected classes) - Student audience (15-30 mins)
Introduction to OCRTIX (mandatory reporting, protected classes) - Staff/Faculty audience (45-60 mins)
Clery Reporting - Staff/Faculty audience (30-45 mins)
Pregnant and Parenting students - Staff/Faculty audience (30-45 mins)
Creating and Maintaining a Welcoming Classroom - Instructor audience (45-60 mins)
Free Speech and Advocacy on Campus - Open audience (45-60 mins)
Confidential Employees - referring the campus community to OCRTIX - Confidential employees audience (45-60 mins)

What are you hoping your audience will learn from attending this program?

Who will be participating in the training?

Undergraduate students
Graduate students
Faculty
Staff

How many participants are you expecting?

Is this a required event for your unit/office?

What date, time, and location are you requesting the training occur?

Is there anything else you'd like us to know about your request?