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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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