Transgender Support Resource

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Business/Organization Name *

Street Address *

City *

State *

Zip Code *

Phone *

Email Address *

Website

Example: https://www.blacktrans.org

Facebook Fan Page URL

Example: https://www.facebook.com/blacktransadvocacy

Trans Owned Business/Organization *

Yes

BIPOC Owned Business/Organization *

Yes

Primary Service Category *

Emergency Basic Need Sub Category

Select Any/All Service You Provide

Food Assistance

Transportation Assistance

Rental & Utility Assistance

Furniture Assistance

Health Sub Category

Select Any/All Service You Provide

Mental Health

Physical Health

Nutrition & Fitness

Gender Affirming Care

Surgeons

Endocrinology

Primary Care

Housing Sub Category

Select Any/All Service You Provide

Emergency Housing

Transitional Housing

Supportive Housing

Home Ownership

Employment Sub Category

Select Any/All Service You Provide

Job Readiness

On The Job Training

Career Mentoring

Recruitment & Placement

Other:

Legal Sub Category

Select Any/All Service You Provide

Identity Documents

Immigration

Family Law

Discrimination

Criminal Law

Civil Rights

Other:

Organization/Business Point of Contact Info (Name, Role & Email) *

Who do we reach out to regarding your organization/business service/program?

Does your Business/Organization have an active Non-Discrimination Policy in place? *

Yes

No, we're working on it

Does you Business/Organization have any written guidelines for respectful treatment of your transgender clients? *

Yes

No, we're working on it

Have your staff participated in a transgender cultural competency training? *

Yes, all new staff are provided the training

Yes, annual training is provided for all staff

No, our staff will need to be provided the training

No, we are a BIPOC Business/Organization

We have Transgender People who are Ready to Work! Are you Hiring? Do you have any vacant positions you are looking to fill within the next (3) months? *

Yes

We are so glad you are here! Are there Any Questions/Comments/Concerns we can help out with?

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