Mixgnomer Mutual Aid Request Form
This form is for applicants who are trans, NB, and/or GNC- or a loved one requesting on their behalf- and are seeking to escape a state where anti-trans bills threaten their safety. While we appreciate that there are many folks who need mutual aid at the moment, but this is where our focus will be. We are limited on space, and we'll be boosting three requests per episode, and we'd like to prioritize BIPOC and disabled trans folks at this time, as they will have an even harder time escaping lived conditions. If we get to your aid request, we will reach out to you and let you know the date of the episode it will be published on.
Email *
What is your name? (You don't need to put your legal name if you aren't comfortable with that.) *
What are your pronouns? *
Are you transgender or requesting aid on behalf of a trans loved one? *
Are you BIPOC? (This is not a dealbreaker, just trying to prioritize those requests) *
Are you Disabled? (This is not a dealbreaker, just trying to prioritize those requests) *
Tell us a little about your situation. (Only what you feel comfortable possibly being mentioned in the aid request) *
What are some places that folks can support you financially?(Cashapp, PayPal, Venmo, GoFundMe, etc) *
What are some places that folks can support you online?(Social Media, Etsy, etc.)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy