Registration Form
Thank you for participating in the Service Providers Summit on QTBIPOC Health and Well-Being! This event is a partnership between the McGill University School of Social Work, The Youth Project, and the Halifax Public Library.

We are inviting all QTBIPOC stakeholders, as well as health and social service providers in Nova Scotia to attend, with the goal of learning more about the realities lived by queer and trans communities of colour, how to provide culturally competent services. What's more, this summit aims to connect service providers with a network of other individuals who have a stake in QTBIPOC health and well-being.
Email address *
Full Name *
Please respond with the name that you would like to be referred by, this does not have to be your legal name.
Your answer
Gender Pronouns *
Pronouns are the ways in which you would like organizers and other participants to use when referring to you. For example, "As he was saying...", "She said that...", "They were referring to...", etc. Please select all that apply.
Required
I am a... *
Please select all that apply.
Required
Will you require tickets for Halifax Transit?
In an attempt to render this event more financially accessible, we will we providing two Halifax Transit tickets to participants who are in financial need. While we do not require proof of income, our resources are limited and we encourage only people who require these tickets in order to participate to select "Yes".
Do you have any allergies or dietary restrictions?
Light refreshments will be provided. If you have any allergies or dietary restrictions, please list them below so we can ensure that there will be options for you upon your arrival.
Your answer
Do you have any access needs?
If you have any needs and feel comfortable expressing them, please let us know how we can best facilitate your full participation in the Summit.
Your answer
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