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Renters Rights + Advocacy Training Registration - November 7
Thank you for registering for this special advocacy training and renters rights workshop by Queer Power Alliance. We appreciate your time and want to ensure we provide you with all the resources and advocacy. This form helps us secure our grant funding for this work. Again, thank you.
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
*
Logistics
Will you be participating by Zoom or joining us in person? We will send out the link 24 hours in advance for folks joining by Zoom.
How will you attend?
*
Zoom
In-person
Unsure
LGBTQ+ Questions
Queer Power Alliance 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
Man
Woman
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
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?
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Queer
Bisexual
Lesbian
Pansexual
Fluid
Asexual
Gay
Heterosexual
Other
Other
How did you hear about this event?
*
Queer Power Alliance's Facebook
Facebook Group (please provide name of group)
Queer Power Alliance's Instagram
Queer Power Alliance's Website
Queer Power Alliance's Newsletter
Other
Other/Name of Group
Are you interested in fighting for queer and trans justice with Queer Power Alliance?
*
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 and taking the time to help by answering the questions!