Request edit access
LGBT Freedom and Asylum Membership Form
To become a member of LGBT-FAN, please complete this form so that we may add you to our mailing list and to our internal database. Your information will be treated confidentially unless we are otherwise informed.
If you have any questions, please contact us at
First Name / Organization Name
Professional Affiliation(s) (individual members only)
Renewing Member (updating information)
Are you registering as an LGBT-FAN Member as an individual or as a representative of an organization?
Street Address (please include any apartment numbers)
City or Town
State or Province
Zip or Postal Code
Please check all that apply. I am a... (optional, tick as many as apply)
asylee (I already have asylum.)
legal service provider
other service provider
ally / advocate / activist
public sector or government employee
journalist / reporter
Areas of interest / expertise (tick as many as apply)
policy / general research
administrative tasks (scheduling, record keeping etc.)
direct service provision (housing, financial support)
career development support
communications / PR
writing (news updates, blog posts etc.)
outreach and network building
Members are automatically signed up to our listserv and our newsletter mailing list. If you would prefer to ONLY receive our occasional newsletter and NOT our regular discussion emails, please check the box below.
I prefer to receive only occasional updates. Please sign me up for newsletters only. Please DO NOT add me to your listserv.
LGBT Freedom and Asylum Network Membership Pledge
In order to finalize your membership, you must agree to abide by our collective principles and our spirit of good will by agreeing to the following statements:
LGBT asylum seekers in the U.S. have the right to life, liberty, and the pursuit of happiness. They have the right to live free from immigration detention, to paid work, to supportive community, and to the basic necessities of life, including but not limited to safe housing, food, health care, transportation, mental health services, and clothing. To this end, non-governmental, faith-based, and community-based organizations in the U.S. can and should prioritize serving and empowering LGBT asylum seekers and asylees.
I agree to abide by LGBT-FAN’s organizational bylaws, which I can access anytime on the LGBT-FAN website (
). This includes participating in LGBT-FAN conference calls or meetings at least twice per calendar year, working together in a collegial fashion to promote the well-being and empowerment of LGBT asylum seekers in the U.S., and being represented as a “member” of LGBT-FAN. (Note: Exceptions to public representation will be made for LGBTIQ asylum seekers or asylees who need to protect their privacy for legal, psychological, or security reasons.)
I agree, and I am an asylum seeker or asylee who, for security, psychological, and/or legal reasons, chooses not to be publicly represented by LGBT-FAN.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service