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TPS Member Advisory Council Application
Please complete this application in full. If you have any questions, please contact
tps@tpsonline.org
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Email
*
Your email
Name
*
Your answer
Personal Gender Pronouns
*
Your answer
Union Affiliation (if applicable)
Your answer
Do you Identify as a person of color?
*
Yes
No
Are you a member of the LGBTQ community?
*
Yes
No
What is your lived or learned experience with equity and inclusion?
Your answer
Do you have accessibility needs we can help accommodate? (if yes, please explain)
Your answer
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