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GJNV: Sharing My Story Form
This is a form for all sex/gender diverse Nevadans to report their experiences with mistreatment/injustice based on their gender identity, gender expression or sexual orientation. By sharing your story you will help GJNV advocate better for the needs, services and policies that will ensure a more just Nevada for all. All experiences shared here will be considered anonymous and for internal purposes/sharing only unless otherwise expressed by the impacted person/s.
Email address *
Name you wish to be called: First and Last
Your answer
Email: *
Your answer
Phone: *
Your answer
City I live in: *
Your answer
I experienced injustice in the area of: (check all that apply) *
Required
What Type of injustice was faced (check all that apply) *
Required
Where did injustice take place? (please be as specific as possible with the names of institutions or places) *
Your answer
Tell us what happened in your words (please provide details, quotes and names where possible) *
Your answer
My Story Can Be Used in: *
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