JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Rogue Action Center LGBTQ+ Listening Project Volunteer Sign-Up Form
Thanks for your interest in getting involved with the LGBTQ+ Listening Project. Please fill out this form and we'll get back to you ASAP. You are also welcome to email
nina@rogueactioncenter.org
if you would prefer to get in touch directly. Thanks!
If you want to share this form with someone, the web address for this form is
www.tinyurl.com/lgbtqlisteningprojectvolunteer
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name (whatever you like to be called)
*
Your answer
Preferred Pronouns (select all that apply)
*
He | Him
She | Her
They | Their
My name (no pronouns)
Other:
Required
Phone number
*
Your answer
Where do you currently live? (And if not southern Oregon, what is your relationship to southern Oregon?)
*
Your answer
Why are you interested in volunteering for the LGBTQ+ Listening Project? What are you bringing to this work and what are you hoping to get out of it?
*
Your answer
These are our current projects/committees. Which of these are you interested in?
*
Steering Committee - survey development, coordinating needed and available resources
QTBIPOC Liberation Space - focused support on building community and supporting leadership of queer & trans people of color (QTBIPOC only)
I Affirm Coalition - supporting LGBTQ+ students confronting transphobia in District 7
Working Groups: Networking and Leadership Development (organizing Queer Convergence)
Working Group: Accessibility/Communication
Working Group: Basic Needs
Working Group: LGBTQ+ Youth
Working Groups: Recognition/Representation/Inclusivity
I have a particular idea for a new workshop, program, or project that I'd like to work on (describe in the "other" box)
Happy to go wherever I'm needed
Other:
Required
These are the needs we identified from the LGBTQ+ Survey in 2020. Which of these are you most interested in working on?
Centralized, accessible info about LGBTQ+ events, resources and community
Affirming, accessible healthcare
Accessible LGBTQ+ social events and spaces
Inclusive, safe schools
Public visibility and representation
Small business resources
Educational events for broader community about how to be an ally
What is your general availability?
*
Your answer
We're trying to make sure that our project reflects the diversity of our communities. Could you tell us a little more about how you identify (age, race, gender, sexuality, whether you are a newcomer or grew up here, anything else you want to add)?
*
Your answer
Do you have any other questions or anything you'd like us to know?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Rogue Action Center.
Report Abuse
Forms