Carnegie Mellon University
SafeZone Program Application
Spring 2005
I am interested in becoming a member of the SafeZone program at Carnegie Mellon:
Name: ________________________________________
E-mail:________________________________________
Phone:_________________________________________
Address:_______________________________________
_____Student _____Faculty _____Staff
I would like to participate in the following
SafeZone training session (please choose one, or indicate preference):
_______Sunday, February 13, 11:45am-3pm, UC-Danforth Lounge
(applications due February 7)
_______Friday, March 25, 3pm-6pm, UC-Pake
(applications due March 18)
______I cannot make any of these dates. Please keep me informed of
future training sessions.
On a separate sheet of paper please answer briefly the following questions. Confidentiality of answers will be maintained.
(1) Why do you think that you can be a good ally?
(2) Being an ally is often challenging. Give an example where being an ally could be challenging specifically for you. (You may choose to describe a hypothetical situation, or an actual experience you had).
Please return your application to Rowshan Palmer, Student Affairs,
Warner Hall 301, by the deadline, or email it to rowshan@andrew.cmu.edu.
If you have any questions about the program or the application, please
contact Rowshan Palmer or soho@andrew.cmu.edu.