JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Transgender Support Resource
Sign in to Google
to save your progress.
Learn more
* Required
Business/Organization Name
*
Your answer
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Phone
*
Your answer
Email Address
*
Your answer
Website
Example:
https://www.blacktrans.org
Your answer
Facebook Fan Page URL
Example:
https://www.facebook.com/blacktransadvocacy
Your answer
Trans Owned Business/Organization
*
Yes
No
BIPOC Owned Business/Organization
*
Yes
No
Primary Service Category
*
Choose
Emergency Basic Need
Health
Housing
Employment
Legal
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?
Your answer
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
No
We are so glad you are here! Are there Any Questions/Comments/Concerns we can help out with?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy