Equality NC Student Support Request

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Are you seeking support as an LGBTQ person and/or advocate in a K-12 school? Please fill out this form so we can support you on your campus. Your information will be kept confidential. It is possible that based on your responses, you will be encouraged to discuss with a guardian or supportive adult to get help, though we will not disclose your information to any educators, family members or students.

Your name *

Your email *

Your school

Full name, please no abbreviations

City

Do you identify as LGBTQIA?

Yes

Clear selection

Do you identify as Transgender, Gender Nonconforming, Nonbinary, Agender and/or Genderqueer?

Yes

Clear selection

I am currently... *

a PreK-12 student

an educator, school staff or organizer

a family member

What support are you seeking? *

Select all that apply

I'd like my name updated in PowerSchool

I'd like a gender support plan to support my gender journey

I'm experiencing active anti-LGBTQ remarks and/or language from my classmates or school staff

Support with my school GSA/Start a GSA on campus (virtual or in-person)

My school is preventing me from starting a GSA

I am experiencing racial discrimination at my school

Other:

Required

Submit

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