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LGBTQIA2S+ School Support & Response Request Form

If you or someone you know is experiencing challenges related to LGBTQIA2S+ inclusion, safety, or belonging at school, we're here to help.

This form is for students, parents/caregivers, school staff, and administrators to request support for concerns affecting LGBTQIA2S+ community members in school settings. Examples include bullying or harassment, discrimination, anti-LGBTQIA2S+ policies or practices, barriers to inclusion, or other situations impacting a student's well-being or school experience.

After receiving your request, our team will review the information and determine the most appropriate way to provide support. Depending on your needs, we may:

  • Provide direct consultation or intervention.

  • Meet with school staff or administrators to strengthen their capacity to address the situation internally.

  • Share resources, guidance, or educational materials.

  • Connect you with community organizations or service providers that can offer additional support beyond our scope.

Our goal is to help create safer, more affirming, and inclusive school environments where LGBTQIA2S+ students can learn, participate, and thrive.

Please provide as much detail as you are comfortable sharing. You may submit anonymously, but the more information we have, the better we are able to respond. All requests will be reviewed as promptly as possible, and a member of our team will follow up with you regarding next steps.

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What is your name? 
What are your pronouns?
What email address can we use to connect with you? *
What is your cell phone number?
What is your prefered method of communication? 
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Is it okay for us to leave you a voicemail?
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Which of the following best describes you? *
Are you submitting this on behalf of: *
Can we use your name when following up with appropriate resources and responses, or do you need to remain anonymous? 

Please note that not all response options may be possible for anonymous reports. We can work with you to determine what level of response we can provide and what details may or may not need to be shared for each level of response. 
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