Facing Racism Institute Application

Required fields are marked with an asterisk (*).

Attendance policy: Attendance is critical to the Facing Racism Institute experience. Participants who will need to miss any time during the two days are asked to reschedule. Session times are 8:30 a.m.-4:30 p.m. both days.

Registration policy: Supervisors and their direct reports cannot attend the same session. No more than five (5) individuals from the same organization may register for a session.

Cancellation policy: Cancellations made less than two (2) weeks before the start date will not be refunded.

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Choose your session*

October 21-22, 2021

Choose your application type*

Community ($400)

MSU Employee ($350)

(Fees will be paid during the registration process after acceptance into the program)

First name*

Middle name

Last name*

Title

Company/Organization

Street address

City

State

Zip code

Phone number

Email address

Why are you interested in participating in the Facing Racism Institute?

About you

The Office of Inclusive Engagement is committed to ensuring diversity, equity and inclusion in our programs and initiatives. Completing the following section is voluntary and will assist us in optimizing program experience.

Date of birth

Race/Ethnicity

Gender

About your organization

Industry

Number of employees

Is your organization

Minority-owned

Women-owned

Veteran-owned