Grantmaking Fellows Interest Form
* Required
Email address
*
Your email
Full Name (First & Last)
*
Your answer
Phone Number
*
Your answer
How do you identify?
*
Agender
Androgynous
Bigender
Gender Fluid/ Gender Queer
Intersex
Non-Binary (NB, Enby)
Questioning/ Unsure
Trans Female (MtF; Male to Female: AMAB)
Trans Male (FtM; Female to Male; AFAB)
Two-Spirit
Other:
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What pronouns should we use?
*
He/Him/His
Hy/Hym/Hys
She/Her/Hers
They/Them/Theirs
Xe/Xem/Xyr
Ze/Hir
None
Other:
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Age
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Your answer
City
*
Your answer
State/Province
*
Your answer
Zipcode/Postal Code
*
Your answer
Country
*
Your answer
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