TEP Assistance Application
Trans Empowerment Project of Knoxville will provide items needed by the local trans community to the best of our ability. Items must be picked up by the applicant, unless otherwise agreed upon. Please fill out the form below if you are having an emergency need, and you will be contacted by one of our board members within 48 hours. Please bear in mind, your completion of this form is not a guarantee that we will be able to fulfill your request, however we will do what we can to assist you. At this time, we are not able to fulfill requests for packers or STPS. (Donations are always welcome!)
Birth Date (Please use the following format: MM/DD/YYYY)
Please provide a summary of your current need.
Is this an emergency?
What is your living situation?
I have my own home which I rent/own.
Staying with friends or family
I am homeless or will be within the next 48 hours
I will be homeless greater than 48 hours
I am in a program/facility/shelter situation already
Are you working now or do you need help finding work?
Yes, I am already working.
No, I do not have a job but I would like help finding one.
No, I do not have a job and no I do not need help finding one.
Type of Assistance Being Requested
Connection of 3rd party resources (ex: healthcare provider, support groups, hair stylist, etc)
Financial Assistance for HRT
Please provide any information regarding the item(s) you are requesting that will help us to better fulfill your request. (Ex. clothing sizes, type of medical provider, etc)
How soon do you need the items you've requested above? (Some Requests May Take Up To 30 days to process)
It's an emergency. I need them immediately (this does not guarantee we can provide assistance right away but indicates you need these items quickly)
It's pretty important but I can wait 1-2 weeks
Willing to wait 2-6 weeks
Whenerver is fine, no rush.
Assistance needed by specific date (to be discussed via preferred contact method)
Have you received assistance from us before?
If you answered yes to the previous question, please give us a brief summary of the assistance you've received from us in the past.
Preferred Contact Method
Facebook (You may also reach out to us on Facebook at
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service