Request Services |

Please fill out this form to request services from RACE TALKS. A representative will reach out with in 3-5 business days.

Request Business Services

Organization Name: Please include full organizational name and department name (if applicable). *

Contact Information

Please Include All: Contact name, Phone number, Email, and Website (if applicable).

Name of Contact

Email Address *

Phone *

Website

Event Details

Please provide date, time, type of event, and other event information.

What is the date of your event? *

What is the start time of your event? *

Hours

Minutes

Are you looking to organize a one-time event or a series of events? *One-timeSeriesI don't know and I'm open to discussing this option further.

Do you have alternative dates and times? Please list them below.

Estimated Number of Participants *

What is your budget? *

Type of event you are looking for: *

Community Forum - An interactive educational experience with panelist(s) or video presentation that focuses on a specific community or organizational concern; includes smaller breakout rooms with focused discussion; RACE TALKS facilitators may be requested for breakout rooms.Training - An interactive educational experience adapted from an existing RACE TALKS training and tailored for your organizational needs.Workshop - An abbreviated training that focuses on a specific area of concern; includes smaller breakout rooms.RACE TALKS Facilitator - Create a safe space that allows participants to engage in open conversation about a particular topic or concern(s); assists participants with problem solving and plan next steps.Host A Conversation - This a group discussion for up to 100 participants curated by RACE TALKS; one RACE TALKS facilitator is provided.I'm unsure.Other

If you answered "Other" please provide more information here

Areas of issue you would like to discuss? *

Request a RACE TALKS Facilitator *

Meet with RACE TALKS Executive Director Shaina Pomerantz

Schedule a phone meeting now to discuss RACE TALKS business services in more detail.

Is there anything else you would like us to know?