Sponsored Abortion Training Spot Form

There are 5 sponsored spots in each cohort reserved for folks who:

are BIPGM and/or 2SLGBTQIA+
AND would be unable to participate at any available pricing option

Spots in our upcoming cohort (July 22nd to September 16th, 2023) have already been filled.

To be included in a draw for a future cohort, please complete this form.

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BIPGM is an acronym for Black, Indigenous, People of the Global Majority

2SLGTBQIA+ is an acronym for Two-Spirit, Lesbian, Gay, Bisexual, Transgender, Queer and/or Questioning, Intersex, Asexual, and the plus reflects the countless affirmative ways in which people choose to self-identify.

Email*

example@example.com

I confirm that I am BIPGM, 2SLGBTQIA+, and/or living with disability

YesNo

These spots are reserved for folks who are BIPGM, 2SLGBTQIA+, and/or living with disability. Please only apply for them if that applies to you.

Would you be able to participate in this training at any price on our sliding scale or with a payment plan if you are not selected for a sponsored spot?

Yes, I would be able to participateNo, I would not be able to participate

If you are able to participate at any price point on the sliding scale or with the use of a payment plan please do not apply for a sponsored spot. These spots are meant for folks who cannot otherwise participate.