BiasHELP, Inc.: Request for Presentation

* Name of Organization/Agency:
* Mailing Address:
* State:
* Zip Code:
* Name of Authorized Contact Person:
Position/Title:
* Telephone:
* E-mail:
	A single presentation or series of programs can be scheduled for an organization/school. The length of presentations can last as long as a class period or exceed an hour depending on the material to be discussed. All presentations allow for audience participation and questions. We ask that requests be submitted at least two weeks prior to date of presentation. A confirmation phone call will be made once request has been received.
* Indicate specific focus, topic or requirement(s) for this program:
* Size and description of audience:
Address where program will be held: (if different from above)
	Indicate both date & time of program:
* 1st Choice:	Date: / / 2009
	Time In: :
* 2nd Choice:	Date: / / 2009
	Time In: :
* Phone # in the event of an emergency:
* Preferred format for this presentation:	Workshop Training Technical Assistance
* Acting on behalf of my organization, I am requesting an education program and/or written materials from BiasHELP, Inc. and consent to the inclusion of the following exercises in this presentation:
	Hate Crimes 101 The Continuum of Prejudicial Behavior Stereotypes Cultural Diversity Bullying 101 / Cyberbullying Gangs 101 Youth Violence Relational Aggression Sexual Harassment / Gender Bias Hate Crimes 101 Our Hate Crimes program is designed to assist participants in learning the definition of a hate crime, understanding how hate crimes are different from other crimes and how to use available resources, including hate crime laws, to respond effectively within the community. The Continuum of Prejudicial Behavior Our program provides participants a better grasp of how prejudices function and a look at how we have learned prejudices. Automatic prejudiced behaviors will be discussed. Stereotypes Our stereotypes program provides participants with understanding of what stereotypes are, recognizing them, how it affects others and ourselves, unlearning stereotypes as well as enhancing skills for speaking up against stereotypes without blame or guilt. Cultural Diversity Our program provides participants with in-depth cultural awareness and understanding of the impact of cultural differences, the necessary foundation and tools to become culturally competent, the opportunity to enhance cultural sensitivity and practical tools to reduce cross-cultural misunderstanding and encourage positive cross-cultural relationships. Bullying 101 / Cyberbullying Through our ABC Project (Agreements to end Bullying and Cyberbullying), our program educates young people about definition, statistics on who gets bullied, what to do if someone is bullied/cyberbullied, why bully/cyberbully occurs, the characteristics of a bully and what they do, the consequences of doing it, recognizing the signs, forms of cyberbullying, and the most important thing for youth is to learn that they are not alone and that they can do something positive about it. Gangs 101 Our program provides participants with statistics on gangs, definition and warning signs, reasons young people join gangs, gang identification, consequences and how to exit a gang and discouraging youth from joining gangs. Youth Violence Program discusses the common threads of at-risk and aggressive behavior among youth that leads to acting out and becoming violent. Understanding that alienation, exclusion or history of abuse contributes to outward frustration. Relational Aggression Our program provides participants with the tools necessary to identify hidden behaviors of relational aggression. Discussion on how society places values on girls “being nice” instead of using physical violence and girls resorting to covert aggression. Sexual Harrassment / Gender Bias Our program provides participants with understanding of the definition of sexual harassment and the terminology associated, being able to determine when a behavior is unwelcome, where it occurs, the different forms and what to do if someone is a victim of sexual harassment. Our program discusses the various ways our society treats women vs men. The unfair treatment of women in the workplace, in government and culturally. Participants will receive the tools necessary to achieve equality.
* Upon completion of this request form I agree to the following:
	I agree to the distribution of BiasHELP, Inc. literature.
	I understand that I may not videotape or audiotape any speaker without prior written permission from BiasHELP.
	I agree to explain and enforce (to the best of my ability or with the help of others) BiasHELP’s expectation of the faculty/staff present to:
	•Provide organizational or disciplinary assistance if necessary. •Model respectful demeanor, refraining from espousing personal opinions during the workshop that might be rude, pejorative or otherwise inflammatory.
	I understand that staff/faculty may be given the choice to fully participate in conversation, debate, or other activities to the extent which it will benefit them and/or the workshop. If this is not the case, however, they will be asked to excuse themselves or to unobtrusively observe.
Special notes/comments:
PLEASE NOTE: Your IP address has been logged as 38.107.191.118, and spams will be reported to your server administrator.

Hate Crimes 101

The Continuum of Prejudicial Behavior

Stereotypes

Cultural Diversity

Bullying 101 / Cyberbullying

Gangs 101

Youth Violence

Relational Aggression

Sexual Harrassment / Gender Bias