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Thank you for selecting D.E.E.P. Impact as your diversity education resource. To assist our staff in understanding your needs, please complete the request form 2-3 weeks prior to your requested event. A D.E.E.P. Impact staff member will contact you within three business days of your submission to further discuss our ability to accommodate your request. Please contact Reggie Stroble at or Rain Garant at with additional questions.

Contact Information

Note: All items are required!

Program Information

Select the intended audience for the program.

Please select the type of program you would like to coordinate

Please select one or more of the following topics for your program

What is your anticipated time frame for the program?

What led you to request an Outreach for your group? What would you like participants to take away from this Outreach? (Please be brief; you'll have a chance to discuss this more with DEEP facilitators)

Logistical Details

Please enter the date, time, and location options of your program in order of preference:
1st Choice:
2nd Choice:
3rd Choice:

Is internet available at your desired location?

Is a TV screen/projector available at your desired location?

Is audio available at your desired location?

Will any participants require accommodations for accessibility? (e.g. closed captions, large print, interpreter)

Click 'Submit' below to send your request.

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