MAVA Diversity, Equity and Inclusion Trainer Application Question Title * Your Information Name Pronouns Address Apartment/Unit City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number Please answer the following questions Question Title * Why do you want to become a MAVA DEI trainer? Question Title * Describe your previous experience and skill level as a DEI speaker and/or trainer. You may also include a link to a recording of a DEI training or presentation you have facilitated. Question Title * Describe your experience in leading volunteers (where, how long, etc.). Question Title * Do you have previous experience facilitating training in-person and/or virtually? Yes No Question Title * Have you led interactive DEI trainings for employees and volunteers? Yes No Question Title * Do you have experience working with people of varied racial, cultural, economic, educational and religious backgrounds? Yes No Question Title * Are you comfortable discussing, training and advocating for racial equity? Yes No Question Title * Are you willing to participate in a train-the-trainer session? Yes No Question Title * Are you willing to participate in periodic trainer coaching sessions? Yes No Question Title * Are you able to commit to leading a minimum of five presentations over the next year? Yes No Question Title * Are you able to do some travel throughout Minnesota, including Greater Minnesota, to present workshops? Yes No Please provide two professional references who can speak to your DEI training facilitation experience. A reference request will be sent to the email provided. Please tell your references to expect this email. Question Title * Reference 1 Name Email Address Phone Number How long have you known this individual and in what capacity? Question Title * Reference 2 Name Email Address Phone Number How long have you known this individual and in what capacity? Question Title * Please upload your resume. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please upload your resume. Diversity Equity and Inclusion Trainer Commitment AgreementAs a trainer for MAVA’s Diversity, Equity and Inclusion (DEI) trainings, I pledge to fulfill my commitment and utilize the MAVA training materials according to the following terms: I agree to complete a MAVA-sponsored train-the-trainer workshop. I agree to continue to build my training skills by participating in periodic trainer coaching sessions. I agree to commit to leading a minimum of five presentations over the next year. I agree to submit trainer reimbursement forms and other paperwork to MAVA following training sessions. I agree to utilize the MAVA training materials according to the following User/Participant Terms of Use Agreement: The training materials are the property of the Minnesota Alliance for Volunteer Advancement (MAVA). You may use MAVA materials only for instructional purposes in your role as a MAVA DEI trainer. No part of materials may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of MAVA. You may not utilize materials for your own personal monetary gain. When acting as a trainer for MAVA, you may reproduce handouts and PowerPoint presentations from the training for use during trainings offered by MAVA. You may also develop additional trainer notes or handouts based on these modules. By entering my name and date below, I am electronically signing the MAVA DEI trainer application and agreeing to fulfill all requirements of MAVA's DEI trainings and trainers. I understand that the training materials are the property of MAVA. I have also answered the application questions fully and truthfully, and I give MAVA permission to contact my references. Question Title * Full Name Question Title * Please enter the date. Date / Time Date Submit