Power: Leadership and Learning Series
HRC's Historically Black Colleges and Universities Program
Registration Form
Establishing Campus LGBTQ Resource Centers | August 25, 2021 | 1:00 PM - 2:00 PM EST
Name
*
First Name
Last Name
Pronouns
College/University/Organization
*
Title
*
Department/Division
Email
*
example@example.com
Phone Number
-
Area Code
Phone Number
Which of the following best describe your gender?
Agender
Man
Genderfluid
Genderqueer
Non-binary
Woman
Other
Do you identify as transgender?
Yes
No
I'm not sure
I don't want to answer
Do you identify as intersex?
Yes
No
I don't want to answer
Which of the following best describe you personally?
Asexual
Bisexual
Fluid
Gay
Lesbian
Pansexual
Queer
Straight or heterosexual
I don't want to answer
Other
Which of the following best describe your race or ethnicity?
Asian
American Indian/Alaskan Native/Native American
Black/African American
Hispanic/Latinx
Native Hawaiian/Pacific Islander
White
Other
Back
Next
Does your campus currently have a LGBTQ Resource Center?
Yes
No
No, but we're in the process of establishing one.
If no, is your campus interested in establishing a LGBTQ Resource Center?
What are you hoping to learn from this session?
What would you like to learn more about in future Power sessions?
Submit
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