LGBTQ Employee Group Membership Form

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Name *

Preferred Name

Preferred Pronoun

Department/unit

Employee status *

Instructional Faculty (full and part time)

Administrative and Professional

Classified Staff

Wage

Affiliate (please indicate; i.e. Aramark, Follett, Pitney Bowes)

JMU email address

Alternate (non-JMU) email address (optional)

If email is your preferred method of communication, which email address should be considered primary?

If email is not your preferred method of communication, how do you wish to be contacted (please iinclude telephone number or MSC)

Working Group interests

The LGBTQ Employee Group at JMU has multiple working groups that focus on particular areas of interest and advocacy. Please check all in which you are interested in participating:

Network and Programming

Advocacy

Confidential Peer Support

Submit

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