rXs Fall 2012 Participant Form

Please fill this form out no later than Friday, September 21st. You will receive word on your application no later than Friday, September 21st.

rXs is a semester-long, intragroup dialogue series for lesbian, gay, bisexual, trans*, queer, questioning (LGBTQQ) and similarly self-identified people of color. Throughout the semester, participants are asked to consider the intersection of all their social identities, both target and agent, and how these identities impact their lived experiences. rXs is CLOSED and CONFIDENTIAL.

rXs Group A: Sundays, 6-8pm in TBA. 9/23, 10/7, 10/21, 11/4, 11/18, 12/2, 12/9
rXs Group B: Wednesdays, 6-8pm in TBA. 9/26, 10/10, 10/25, 11/7, 11/21, 12/5, 12/11

    Biographical Information

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    Demographic Information

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    Short-answer Questions

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