National transKids Safe Housing Network
In completing this form you are agreeing to be interviewed, trained, and tested in the interest of sponsoring, housing, fostering or adopting a child that identifies as lesbian, gay, bisexual, queer or transgender. By completing this form you are agreeing to undergo a background check based on the information provided. By filing out the required information you will be placed in an nationa database registry to have an lgbT kid placed in your home or sponsored by you with specified donation. We appreciate your support with our national outreach!
Email Address: *
Legal First Name: *
Legal Last Name: *
Preferred Name(s):
Date of Birth: (Please be sure to include the correct birth year) *
Gender Identity: *
Phone Number including country code (ex: "+1" for U.S.) *
Street Address: *
City/Town *
County/Parish *
State/Province *
Country: *
Zip/Postal/Mail Code: *
What reason are you enrolling in the national network? *
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