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Only your city and state are required by Quivira. If you prefer not to give the other information, write, "N/A" in those fields.

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These questions will help us at the Quivira Coalition continue to improve antiracism, diversity, equity, and inclusion in all our programs. Certain questions are optional: you are not required to enter a response about your gender, race, ethnicity or access needs. If you have suggestions or resources you would like to share, please email us at education@quiviracoalition.org.
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Do you require special accommodations or have access needs you'd like us to be aware of?
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Quivira Coalition

1413 Second Street, Suite 1
Santa Fe, New Mexico 87505
505-820-2544
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Contact information

Name(Required)
Mailing address(Required)
Only your city and state are required by Quivira. If you prefer not to give the other information, write, "N/A" in those fields.

Demographic information

These questions will help us at the Quivira Coalition continue to improve antiracism, diversity, equity, and inclusion in all our programs. Certain questions are optional: you are not required to enter a response about your gender, race, ethnicity or access needs. If you have suggestions or resources you would like to share, please email us at education@quiviracoalition.org.
I (or my organization) most strongly identify with the following group(s):(Required)
Do you identify as BIPOC (Black, Indigenous, and/or other Person of Color)?
Select the following that apply to you:

Additional Information

Do you require special accommodations or have access needs you'd like us to be aware of?
While we cannot accommodate all access needs we will do our best! We will reach out with any additional questions
How did you hear about this workshop/event?