Prospective Participant Questionnaire
All information shared here will be kept strictly confidential. Information is for purposes of contact and of helping us to manage contributions logistically, particularly as we consider short essay and/or video contributions. Following submission of your questionnaire, we'll be in contact with you shortly to begin your submission.
How are you interested in contributing?
The primary medium of this project will be picture/short essay (500-700 words) or 3-5-minute video (selfie or NS-produced).
How did you hear about the True To Him project?
Your answer
Sex
Gender Identity
Your answer
Last Name
Your answer
First Name (legal)
Your answer
First Name (preferred)
Your answer
Age
Your answer
Address
Include City, State/Province, Zip, and Country
Your answer
State of Residence
This helps us sort for purposes of regional shoots and coordination of essays.
Your answer
Country of Residence
This helps us sort for purposes of regional shoots and coordination of essays.
Your answer
Phone
Your answer
Email address
Your answer
Facebook profile address
(ie, https://www.facebook.com/bobnewharttransgender—Put "N/A" if you don't have a Facebook account)
Your answer
Marital status
Required
Years married
Your answer
Is you spouse willing to participate as well? If yes, with a written essay, video, or both?
Your answer
Profession / Career field
Your answer
Ethnicity
Required
Have you been the subject of any previous or current any church disciplinary actions related to sexuality or gender identity?
Previous Church discipline is no way a disqualifier—we would simply like all candidates to be in full fellowship at the time of essay/video publication. If you are currently not in full fellowship, please still fill out the application as this project will be ongoing and we would love to still include your voice when in full fellowship.
Your answer
How open have you been about your sexuality or gender identity up to this point?
Your answer
Why do you want to participate in the True To Him project?
Your answer
In 200 words or less, please outline the key components of the story you would like to share?
Your answer
Do you know other good candidates who might be interested in participating in this project?
With their permission, please share contact information and a brief description of prospective participant.
Your answer
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