PFLAG Grinnell/Poweshiek Interest Form

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This form is for anyone who is curious about PFLAG but is not able or ready to come to one of our meetings or events. As a new chapter, we are exploring ways to connect with people throughout Poweshiek County and the surrounding areas. We understand that living in some areas can make it harder to travel to our events, that there can be other physical challenges that make attendance difficult, and that sometimes people prefer to keep their interest in PFLAG private.

Here are a few questions if you're curious about learning more. Answer what you're comfortable with. Give us your name or use an alias, we're fine with that. Just know that we can only get back in touch if you give us a working email.

Note: If you are looking for mental health support, there is an excellent list of resources available on the PFLAG national page at pflag.org/resource/mental-health-resources/

Tell us about you. Choose all that apply. *

There's a lot about LGBTQ+ people that I don't understand

I am looking for opportunities to learn more about LGBTQ+ related topics

I want to support area LGBTQ+ individuals and families

I am LGBTQ+ and am looking for supportive community

I have a family member who is LGBTQ+

I struggle to accept LGBTQ+ people

I consider myself an LGBTQ+ ally

Required

Tell us about where you'd like to connect with PFLAG. Check all that apply. *

I'd be comfortable attending an in person event in Montezuma

Evenings generally work best for me for events

During the day on weekends generally work for me for events

At this point I just have a few questions I want to be able to ask, maybe by email or instant messaging.

I'd be interested in attending a virtual/Zoom meeting

During the day on weekdays generally work for me for events

I'd be comfortable attending an in person event held in Grinnell

I'd be comfortable attending an in person event in Brooklyn

A private online group, like a Signal chat, would interest me

Other:

Required

Tell us about why you're interested in PFLAG. This not only helps us know a bit about you, it also helps us make sure you're not an AI bot.

Tell us about a LGBTQ+ person in your life. Again, this not only helps us know a bit about you, it helps us know you're not an AI bot.

Tell us how you'd like us to get in touch with you. Email is preferred but we can consider other options if that won't work for you. Please provide a name or how you'd like us to address you along with your email address. Someone will reach out soon to followup.

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