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Queeropolis - Hope Towards Recovery
Thank you for registering for LGBTQ Allyship's Job Fair, Queeropolis - Hope Towards Recovery. We appreciate your time and want to provide resources and advocacy for you.
Allyship advocates for housing and economic justice and your voice matters! If you are interested in joining us in the efforts to make change for trans and queers lives please contact Taylor at
taylor@allyship.org
or Katrina at
katrina@allyship.org
Contact Information
Name
*
First Name
Last Name
What pronouns do you use?
*
E.g. she/her, they/them, ze/zir, he/him
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
*
LGBTQ Questions
LGBTQ Allyship would like to ask a few questions to help support our community, this allows us to see where support is needed. Thank you for taking a few minutes to answer some demographic questions.
Age
*
Under 18
18-24
25-34
35-44
45-54
55-64
64+
How do you describe your gender identity?
*
Check all the apply
Transgender
Two Spirit
Cisgender
Agender
Gender fluid
Genderqueer
Gender non-conforming
Gender variant
Non-binary
Male
Female
Androgynous
Femme
Butch
Other
Other
How do you describe your race and ethnicity?
*
Check all that apply
Asian
South Asian
American Indian or Alaskan Native
Black or African American
African
Middle Eastern or Arab
Latino/a/x/e
Multiracial
Native Hawaiian or Pacific Islander
White
Other
Other
Do you need an interpreter?
*
Yes
No
If yes, what langauge?
How do you describe your sexual orientation?
*
Queer
Bisexual
Lesbian
Pansexual
Fluid
Asexual
Gay
Heterosexual
Other
Other
What industry do you currently work in?
*
Restaurant
Construction
Hotel
Retail
Garment
Nail salon and beauty
High-tech
Unemployed
Other
Other
Need Assistance?
Please mark all that apply
*
Yes - Rental Assistance
Yes - Renter Rights Information/Training
Yes - Groceries/Food Assistance
Yes - Unemployment Benefit Support
Yes - Employment Rights
Yes- COVID-19 information
Yes- Safety Equipment (ie Masks)
No
Would you be willing to share your experience?
*
If you respond yes to this question you are giving us permission to contact you via phone or email. Thank you
Yes - Housing/Rental
Yes - Employment
Yes - Unemployment Benefit
Yes- The effects of COVID-19
No
How did you hear about this event?
LGBTQ Allyship FaceBook
FaceBook Group (please provide name of group)
Instagram
LGBTQ Allyship's Website
LGBTQ Allyship's Newletter
Other
Other/Name of Group
Are you interested in fighting for queer and trans economic and housing justice with LGBTQ Allyship?
Yes, I'm in!
No thank you, but thanks for doing this work!
I'm not sure, can I get some more information?
Thank you for registering!