JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Community Grantmaking Fellowship – Interest Form
Sign in to Google
to save your progress.
Learn more
* Required
Email
*
Your email
Full Name (First & Last)
*
Your answer
Phone Number
*
Your answer
How do you identify?
*
Agender
Androgynous
Bigender
Demifemale/Demigirl
Demimale/Demiboy
Gender Fluid/ Gender Queer/ Genderflux
Gender Non-Conforming (GNC)
Intersex
Non-Binary (NB; Enby)
Questioning/ Unsure
Trans Female (MtF; Male to Female; AMAB)
Trans Male (FtM; Female to Male; AFAB)
Transfeminine
Transmasculine
Two-Spirit
Other:
Required
What pronouns should we use?
*
He/Him/His
Hy/Hym/Hys
She/Her/Hers
They/Them/Theirs
Xe/Xem/Xyr
Ze/Hir
None
Other:
Required
Ethnicity Origin
*
Aboriginal; Indigenous; Native; Native American/First Nations
Asian; Pacific Islander; South-East Asian; Indian
Black or African American
Hispanic or Latinx
Middle Eastern
White
Prefer not to disclose
Other:
Required
Age
*
Your answer
City
*
Your answer
State/Province
*
Your answer
Zipcode/Postal Code
*
Your answer
Country
*
Your answer
What program(s) are you interested in reviewing applications for? (Check any/all that apply)
*
Electrolysis is not currently active for CGFs. Should you select Electrolysis, you will be contacted with more information about training once available.
HRT Access Fund
Surgery Fund
Electrolysis - Coming Soon
Required
Are you interested in learning about in person volunteer events (not related to reviewing applications) near the location listed above?
*
Yes
No
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Point of Pride.
Report Abuse
Forms
