STP Mentoring Group Application
Thank you for your interest in this group. We are so excited that you want to be a part of it! Once you complete the form, and we have enough members to begin to match people up, we will be in touch. If you have questions, please email us at: stpmentoringroup@gmail.com. Thank you!
Name and Pronouns
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First and Last Name
Pronouns
Email
*
example@example.com
Gender Identity
*
Please Select
Transman
Transmasc
Male
Nonbinary
Female
Intersex
Other
Sexual Orientation
Please Select
Gay
Bi
Pan
Queer
Straight
Other
How long have you been socially/medically transitioning? When did you start transitioning? Get top surgery, start testosterone, any other surgeries, if applicable?What else do you want to share with us about your identity?
*
Age Range
*
Please Select
18-25
26-35
36-50
50-65
66+
Must be over 18 to participate.
Geographic Location
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CIty, State/Province, Country
We wish to create a group that reflects the needs of each participant where possible. We are a diverse community seeking different kinds of support. Please describe intersections of your identity: race/ class/ religion / immigration status/ parenthood/ disability/ mental health/ recovery, etc.
What intersections of identity are priority for you to be paired with?
If applicable, please describe.
What else do you want to share with us about your identity?
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I'm interested in being a
*
Please Select
Mentor
Mentee
Both!
Unsure
Mentor, Mentee or unsure
Preferred Languages
*
Please Select
English
Spanish
French
German
Portuguese
Norwegian
Swedish
Finnish
Mandarin
Thai
Tagalog
Russian
Other
What are you seeking out of this mentoring program?
*
How would you like the mentoring program to aid your transition/journey?
What are some of your hobbies, interests, likes?
What do you do for work/school/caregiving?
What are some apprehensions you have, if any, in participating in the mentorship programme?
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Do you have any accessibility needs that we may need to know about? Like closed captions/ ASL?
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