Listening Campaign to Disrupt Rape Culture Interview Request Form
The Listening Campaign to Disrupt Rape Culture, organized by FORCE: Upsetting Rape Culture, will take place from January-June of 2018. Please complete this form if you would like to be interviewed as part of this campaign, and want to be matched up with another person who has been impacted by this issue.

Learn more about the Listening Campaign here: https://docs.google.com/document/d/10zAxsjUnM020Pdu2vSHyFCGBYhlVY-9MunicHT-DmhA

Email address *
Please share your name.
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Phone number
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What are your pronouns?
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Please share any preferences about the identity of the person who will interview you (age, race, gender, sexual orientation, ability).
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Anything you would like to share about yourself?
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What is your availability for an interview?
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