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!)
Name *
Your answer
Pronouns *
Your answer
Birth Date (Please use the following format: MM/DD/YYYY) *
MM
/
DD
/
YYYY
Street Address *
Your answer
City
Your answer
State
Your answer
Zip code
Your answer
Phone number
Your answer
Email
Your answer
Please provide a summary of your current need. *
Your answer
Is this an emergency?
What is your living situation?
Are you working now or do you need help finding work? *
Type of Assistance Being Requested *
Required
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)
Your answer
How soon do you need the items you've requested above? (Some Requests May Take Up To 30 days to process) *
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.
Your answer
Preferred Contact Method *
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