Facilitation Request FormInterested in working with us? Complete this form, and we’ll be in touch! Name * First Name Last Name Email * Phone * (###) ### #### What is your racial identity? * Organization name * Where is the organization located? * Organization website * http:// How did you hear about us? * Why do you think LPCG is a good fit to support your organization? * What is your timeline for this request? * What is your budget for this request? * How many people will participate in the facilitated session or process you're inquiring about? * What is the approximate racial composition of the group you'd like for us to facilitate? * What is your motivation for this facilitation request? What are you longing for inside your organization? What challenges is your team or organization experiencing? * What are you hoping will be different for your team or organization after the facilitated session(s)? * Has your group had any prior racial equity or antiracism experiences? * Thank you! Someone from our team will be in touch with you soon.