Brooklyn Ghost Project
BGP Enrollment
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Check yes, if you understand that in order to qualify for the Brooklyn Ghost Project programs and opportunities one must be a person of color living in one of the five boroughs of New York City and identify as either transgender or non-binary. *
Required
Email Address (optional)
Last Name *
First Name *
Pronoun *
In which borough do you live? *
Address: Street *
Address: City *
Address: State *
Address: Apt #
Address: Zipcode
Phone number *
AGE *
RACE *
Income (what is your yearly financial income) *
Do you receive any type of government assistance? (this includes EBT, SSI, NYCHA Housing, Hasa, and HUD) *
Are you currently employed?
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Have you ever been terminated from (or passed over for) a job you were qualified for because of you gender identity? *
Do you have life insurance *
Would you to protest or march in protest against the violent murrder of Black Trans Woman? *
In a short paragraph (3 or 4 sentences), share with us, your dreams and life aspirations for the near furture? *
Emergency Contact Name (first and last) *
Emergency Contact Phone Number *
Please submit a social media link to an account you own that has a picture and was created more than 6 months ago as self-verification. *
Submit
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