Hesed Project Youth Network
LGBTQ2SIA+ Youth in the CRC need a safe place to connect with each other. 

If you are a young member in the CRC who identifies as LGBTQ2SIA+  -- whether you are out or not -- who would like to connect with others in a safe online space, fill out this form. Once we have received and verified your submission, we will be in touch with you to add you to our network. 

We are asking a lot of questions because this MUST be a safe space. 

Please note, if we cannot verify your identity we will not be able to add you to the network. If you have questions about this process or our decision, please do not hesitate to reach out to us at youth@hesedprojectcrc.org. You will see this email address again once you click "submit" at the end of the form.

Thank you for joining us! We are glad to hear from you!
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Your first name *
Your last name *
City/town *
What is your date of birth? *
What is your email address? *
What is your phone number? including area code *
If we need to contact you to verify any details, how do you prefer we contact you? *
Is it safe for us to contact you via phone, email, or text? (Please note that we WILL NOT contact you if it is not safe. You can, however, reach out to us at youth@hesedprojectcrc.org, or if you would like us to reach out to a safe third party, i.e. a trusted friend, you can provide their name and contact info at "Other") *
With which Christian Reformed Church are you most closely associated? i.e. baptized, member, regular attendee, former member? *
In which city or town is this church located? *
In which state or province is this church located? *
In which country is this church located? *
How do you identify? *
Tell us something about your sexual orientation or gender identity journey so far. *
Are you out? *
Why do you want to be part of the Hesed Project Youth Network? *
Do you have gifts that could contribute to this network and are you interested in helping to organize, connect, or lead? *
If you answered "yes," "maybe," or "other" to the previous question, tell us more!
What is your Instagram handle?
Is your Instagram public or private? *
Is there anything else you want us to know?
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