Workplace Equity & Equality Certification Pre-RegistrationName(Required) First Last TitleOrganizationEmail(Required) Phone(Required)Which time zone are you in?(Required)Client Level(Required)Discuss your experience in Workplace Racial EqualityHow do you plan to use the knowledge you gain in the progam?What is your race?How do you plan to use your certification? To support existing clients To market to new clients Othercheck all that applyIf other, please describeWhat is your primary industry experience?ie. Technology, Consumer Products, Health Care, Law, EducationCOACH TRAINING PROGRAM(Required) Certification for EXECUTIVE COACHES & PROFESSIONALS #1 – $1,599 Certification for LEADERS #2 – $10,000 Private Community – $5,000 annually per personCredit Card(Required)Card Details Cardholder NameCommentsThis field is for validation purposes and should be left unchanged.