Equality NC Student Support Request
Are you seeking support as an LGBTQ 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?
Clear selection
Do you identify as Transgender, Gender Nonconforming, Nonbinary, Agender and/or Genderqueer?
Clear selection
I am currently... *
What support are you seeking? *
Select all that apply
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Equality North Carolina. Report Abuse