Outreach and Training & Technical Assistance Request Form
Please share event details and services you are looking for from Gay City: Seattle's LGBTQ+ Center for your upcoming event or training & technical assistance needs. Please allow for up to a week for a response. We look forward to connecting with you!
Organization's Name
*
Contact: First and Last Name
*
Pronouns
(i.e. she/her, he/him, they/them, e/em, xe/xem, etc.)
Email Address
*
Contact Phone
Presence or Supplies?
*
In-Person Presence (Tabling, Workshop, Training, etc.)
Virtual Presence (Workshop, Training, etc.)
No Presence: Only Requesting Safe Sex Supplies / Kits
Request Type:
*
Booth/Table Presence
Speaking Engagement
Training or Workshop
Other (Please specify in next field)
"Other"?
What are you looking for?
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In-Person Event Information
Please fill out if it is an In-Person Event, even if tentative!
Event Location and Address (Please include Zip Code)
Additional Event Details
Please fill out to the best of your knowledge. We can chat more in detail during our connection conversation!
Event Name
Purpose of Event
*
(i.e. training for educators, tabling for school kickoff, etc.)
Date(s) of Event
*
month/day/year
Event URL/Website
Expected # of Attendance
*
Estimated Number of Attendees
Audience
*
Community/Public
Health Provider
Nonprofit Service Provider
Policy/Decision Maker (ex: government officials, unions, etc.)
School/Students
Youth Service Providers
Available Budget
*
If not sure, please enter: Not sure
Response Deadline (mm/dd/yyyy)
*
If you have a deadline that you need a response from us, or if there is a deadline for us to reserve a table/booth, please indicate date here.
Any additional event details?
Concerns? Thoughts? Questions? Dreams?
Submit
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