Stepping-In for Respect: Session Planning

Stepping-In for Respect is a bystander intervention training intended to cultivate a culture of respect and inclusion amongst colleagues and leaders, therefore having a positive impact on the workplace environment and healthcare delivery.


This session planning form is meant to be used by SoM Departments, Divisions or other groups who are planning to provide a Stepping-In training session for their faculty and/or staff. Submitting this form will alert the Office of Diversity, Equity, Inclusion and Belonging, who will help ensure that your facilitators have the needed resources to conduct the training.


Prior to completing this form, please coordinate with one of your department's trained facilitators to ensure availability for the planned session date.


This form should be submitted three weeks prior to the planned workshop date. Please contact us with any questions.

 

Please complete all below fields.

 
 
 
 

(For which this training will be administered)


If not listed, please select "Other" and then type your response in the next field.

 
 
mm/dd/yyyy
 

Eg. 11:00 am - 12:30 pm

 

Eg. "RLSB 3001"


If Webex/virtual meeting, please use the meeting invite link.

 

Please provide the name of your lead facilitator.


(Note: Your group is responsible for recruiting a facilitator, ideally from within your own department. It is recommended that you have one facilitator for every 15 expected participants. A list of trained facilitators is available for your reference.)

 
 

Names/emails of additional facilitators.

 
 

Name of support person during session. Type "NA" if not applicable.

 
 

If you already have the names of those who will be attending this session, you can use the space below to upload an excel file with their information. Please use this Stepping-In Registration Template to create your list.


If you do not yet know who will be attending this session, you will be asked to provide a list no later than one week prior to the session's date.

Drop your files here
 

A Stepping-In for Respect admin will follow-up soon with more information.


If you have any questions, please contact SOMDiversity@ohsu.edu