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Preferred Name

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Phone(Required)

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Address(Required)

Your address will only be used to suggest volunteer opportunities near you.

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Volunteering

What are your areas of interest?(Required)

Check all that apply.

Mentoring LGBTQIA+ youth

Supporting LGBTQIA+ youth behind the scenes

Planning creative events for the community

Developing a new support group

Office admin or facilities management

Visiting homebound LGBTQIA+ elders

Temporary fostering for queer youth in crisis

Other (I’ll add my response in the Comment Box below)

What phrases best describe you?(Required)

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How often would you like to volunteer?(Required)

Just once to start

A couple of times a year

Once a month

Two or more times a month

Other (I’ll add my response in the Comment Box below)

About You

Your unique identity is important, and we want to know who is in our community! Please answer the following questions that will guide us in building equitable programs for everyone.

How do you identify?(Required)

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What pronouns do you use?(Required)

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They/them

She/her

He/him

Prefer not to answer

Other (I’ll add my response in the Comment Box below)

How do you identify?(Required)

Check all that apply.

Asian / Pacific Islander

Black / African Descent

Latinx

Native American / Indigenous

White / Caucasian

Mixed

Prefer not to answer

Other (I’ll add my response in the Comment Box below)

Do you need accommodations for a disability?(Required)

Check all that apply, even if you are self-diagnosed.

Wheelchair accessibility

Subtitles / captions

ASL interpreting

Sensory accommodations (dim lights, quiet spaces, etc.)

Tone tags in written communication (“/j” for joking, “/s” for serious, etc.)

Prefer not to answer

I do not require accommodations

Other (I’ll add my response in the Comment Box below)

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Is there anything else you’d like us to know about you?

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