Enrollment Form - Committed to Ending Global Racism

  • Personal Information

  • Professional Support

  • Please provide the name of the mentor or supervisor who is supporting your participation in the program, if any.
  • Payment

    The Forum will review your record to determine if any of the webinars you have previously participated in qualifies towards this program.
  • Enrollment Agreement

    Participants bear the responsibility of initiating a disability-related notification. Check the box if you have a documented disability that needs to be disclosed as part of your participation in the program. You will be contacted confidentially to discuss your needs.