>
	Full Name: Position Title: College/University: Phome Number: Fax Number: Email Address:     Describe how you would like to be involved with Stop the Hate!   How have you been involved in fight hate in the past?   What organizations are you currently affiliated with?     Thank you for your interest in Stop the Hate! A member of our staff will be in contact with you.         Note: After clicking the submit button, print a copy of your completed response activity form for your own records.  The information submitted will be listed on your individual trainer page on STOPHATE.ORG.