You may be using a Web browser that does not support standards for accessibility and user interaction. Find out why you should upgrade your browser for a better experience of this and other standards-based sites...

Dartmouth Home Search Index

Dartmouth Home | Search | Index

 Dartmouth home page
Office of Pluralism and Leadership
Home > Crossing the Line >

Crossing the Line - Request Form

Thank you for your interest in CTL. Please use the form below to request your CTL program. You'll receive an email confirmation of your request.

Contact Information (all information required)

Last Name: First Name:

Email Address:

Title:

Name of organization or group:

 

Describe your CTL Needs (include as much information as possible)

How did you hear about CTL?

If your group has done CTL already, when was the last time? If recently, how has your group changed?

Why are you interested in having CTL done at this time?

How many people do you expect at the workshop (need at least 12)?

How long have the participants known one another?

Please discuss any hot topics, incidents or concerns that have recently impacted your community.

If known - what are your time and date preferences or restrictions (a two hour block is required)?

Where do you plan on holding the workshop (needs to be private, quiet, and have enough space for the participants to stand in one horizontal line and step forward a few feet)?

Last Updated: 7/24/07