Application form - Gathering of D/deaf and disabled LGBTI people
Please complete this application form; deadline for applications: 26 August 2019 at 18.00 CET.

Please make sure you have enough time to answer the question. You cannot save the form halfway and return to it but you can submit the form and and later return to it and edit your responses BEFORE the deadline.

Do not hesitate to contact us via email at or by calling 0032 2 609 56 52 (Valeria’s number at ILGA-Europe):

- If you have doubts or questions related to this event.
- If you need support to finalize your application or if applying in writing doesn’t work for you.
- If you will not be able to apply or travel to Brussels but you would still like to be involved in or informed about this event.

* We would like to acknowledge that we drew significant inspiration from the Accessibility requirement example questionnaire in the TGEU publication "Oppression Squared: D/deaf and disabled trans experiences in Europe".

Email address *
Name you use: *
Your answer
Country of origin/residence: *
Your answer
Organisation/group name (if relevant to you):
Your answer
Organisation/group website address (if relevant to you):
Your answer
Your role in the organisation/group (if relevant to you):
Your answer
Telephone/Mobile phone:
Your answer
Email: *
Your answer
Something more about you
We are committed to ensuring outreach and accessibility for LGBTI communities in all their diversity. Therefore, it is very important for us to keep track of the profile of our participants. We will be very grateful if you support us in this by sharing information in the following section.
What gender do you identify with?
Your answer
Do you identify with any of the following? Tick all that are relevant to you, if you wish:
Is there any other information on your identity you would like to share with us?
Your answer
Do you identify as D/deaf, disabled, or having mental health problems? *
Please tick all that describe you: *
Please highlight where your work takes place. Tick as many as relevant:
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