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Group/ Company Name
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Contact Name
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First
Last
Phone
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Email
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Desired Length of Workshop
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Half day (4 Hours)
Full Day
Multi day/ Over Night
1-2 Hours (Not Recommended)
Desired Location
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I can host
you can host (Univeristy of Utah Heritage Center)
Alternative Location
Please be aware that for most of our workshops we require a space large enough for all participants to sit in a circle without tables, dividers or other barriers.
Please provide 3 possible dates AND times for this workshop
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Age Range of Participants
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Number of Participants
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Please describe the issue or topic you wish to discuss
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Outcome 1
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Please provide 3 short-term outcomes you would like to achieve through our partnership
Outcome 2
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Please provide 3 short-term outcomes you would like to achieve through our partnership
Outcome 3
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Please provide 3 short-term outcomes you would like to achieve through our partnership
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