Language
English (US)
French (Canada)
Organization Information
What is the name of the organization you represent?
*
Shortened Name for Organization
*
Must be all lowercase with no spaces or special characters.
Type of organization
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Non-profit
Charity
Unincorporated Group
My organization is located in Canada
*
Yes
No
I confirm that my organization is not a business
*
Yes
No
Demographics
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Indigenous
2spirit
BIPOC
Black 2slgbtq Groups
Trans and Gender Diverse
Sex Worker Group
Parent/Family Group
Public Education
Advocacy
Disability Community
Youth
Seniors & Edlers
HIV/AIDS Organization
Campus & GSA Groups
Newcomers & Refugees
Other
Programs Offered
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HIV/AIDS support
Suicide Prevention
Sexual Health
Physical Health
Food Banking/ Grocery Support
Conflict De-Escalation
Gender & Gender Diversity
Peer Support
2Spirit Programming
2Spirit Awareness
Francophone 2SLGBTQ+ Programming
Decolonization Workshops
Seniors Programming
Disability Programming
Youth Programming
Support/Training for 2SLGBTQ+ Artists
Parenting/Birthing
Other
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Languages used in organization
*
English
French
Bilingual (EN/FR)
Other
Please describe how your organization delivers ongoing, frontline programming or services to 2SLGBTQ+ communities? This should be explicitly to 2SLGBTQ+ communities.
*
Additional Details
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Social Media
Organization Website
Facebook URL
Instagram URL
Twitter URL
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Contact Information
Primary contact title
*
Primary contact name
*
First Name
Last Name
Primary contact pronouns
*
Primary contact email
*
Please insert the primary email you use for this membership.
Primary contact phone number
Please enter a valid phone number.
Secondary contact title
*
Secondary contact name
*
First Name
Last Name
Secondary contact pronouns
*
Secondary contact email
*
Please insert the primary email you use for this membership.
Secondary contact phone number
Please enter a valid phone number.
Third contact title
*
Third contact name
*
First Name
Last Name
Third contact pronouns
*
Third contact email
*
Please insert the primary email you use for this membership.
Third contact phone number
Please enter a valid phone number.
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