OUT Maine · SIGN UP - GSTA Network Registration

Contact Information

Name *

First Name

Last Name

Pronouns

Please check all that apply.

he/him/his

she/her/hers

they/them/theirs

Other pronouns I use:

Where you work *

County *

School or District you work for *

Only provide district name if you work at the district-level.

Which district is your school in?

Leave blank if your school does not have a district.

Job title? *

Email *

This is the email that will be included in the OUT Maine GSTA Network Directory, if you choose to have your contact info included.

Verify Email *

Email Address Type *

Phone *

Address Type *

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Have you previously registered for the GSTA Network? *

Name of GSA/GSTA *

What is the current state of your GSTA? *

Want to start one

Developing (inconsistent meetings/attendance)

Established (consistent meetings/attendance)

Well-established (consistent meetings/attendance year after year with student leadership)

What help is most needed? *

(Check all that apply)

Programming resources

Advisor professional development

Student transportation

Advocacy to administration/district leaders

Other (fill in below)

Other help needed *

Are you willing to host a regional GSTA meet-up? *

Yes

No

Unsure

What time of day does your group meet? *

Before school

After school

During lunch

At a designated time during the school day, built into the schedule

At an undesignated time during the school day, students miss other classes to attend

Other (fill in below)

Other GSTA meeting time *

Agreement for your contact information (including email) to be included in the OUT Maine GSTA Network Directory

I agree to allow the contact information I provided, including the email address, to be included in the OUT Maine GSTA Network^TM Directory for the use of collaboration with other advisors/schools. I agree to use the OUT Maine GSTA Network^TM Directory only for GSTA-related activities and not for personal or other business uses.

OUT Maine GSTA Network Directory inclusion? *

I agree

I do not agree

OUT Maine GSTA NetworkTM Registration

Contact Information

OUT Maine GSTA Network^TM Registration