EQME Youth Group Screening Form
We’re excited to announce our youth led drop-in groups so young LGBTQ+ people across Maine can see and hear from one another. We have four amazing youth leaders, all graduates of our New Leaders Project, ready to facilitate groups for ages from 12 to 22 and for different identities, like a POC only group. Youth participants must register using the online form to allow group leaders to get a sense of who you are and what you'd like to get out of online meetings with other LGBTQ+ young people across Maine.
Email address *
What's an alternative email we can reach you at? (some school based emails don't allow contact from outside agencies).
Your answer
Name: *
Your answer
Pronouns: *
Required
Age: *
Your answer
What county do you live in?
What topics would you like to discuss during these meetings? *
Your answer
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