Carbondale "At the Table"
Dinner & Dialogue Event
About the Event:
This Carbondale "At the Table" Dinner & Dialogue Event will be held on October 10th at the Carbondale Civic Center. Doors will open at 5:30pm. From 6:00-7:30pm, allies, advocates and members of the LGBTQ community will personally reflect on LGBTQ History and discuss issues facing the aging LGBTQ community. This event is free and open to the public. Seating is limited. Please fill out the form below to let us know you are coming and tell the hosts a little bit more about yourself to ensure a healthy intersection of dialogue at each table. *ONLY YOUR NAME AND CONTACT INFORMATION IS REQUIRED. Thank you to GRIS, SIUC LGBTQ Resource Center, and the Rainbow Cafe for joining the City of Carbondale in celebrating LGBTQ History Month. Please email any additional questions to Dianah McGreehan at dmcgreehan@carbondaleil.gov
About Golden Rainbows of Illinois South
The mission of GRIS is to help the aging 50+ LGBTQ community and aging members living with HIV in Southern Illinois overcome the disparities due to the lack of equative services available to them. GRIS is committed to giving the 50+ LGBTQ community and those aging with HIV a sense of purpose and improving their health and well-being in legal, health, housing, medical, history, and social engagement. To learn more about GRIS visit www.goldenrainbows.org
Name
*
First Name
Last Name
Email (or phone number if preferred)
*
example@example.com
Age
17 years or younger
18-24
25-34
35-44
45-54
55-64
65 or older
Sexual Orientation
Heterosexual/Straight
Gay/Lesbian
Bisexual
Prefer not to say
Other
Preferred Pronouns
She/Her/Hers
He/Him/His
They/Them/Their
Prefer not to say
Other
Race/Ethnicity
Black/African American
Hispanic/Latino
White
Asian
Pacific Islander/Native Hawaiian
American Indian/Alaska Native
Two or more races
Prefer not to say
Would you be interested in serving as a facilitator/volunteer in the future?
Yes
No
Not at this time maybe in the future
Please list any dietary restrictions you have OR note none
If you are bringing any other guests, please indicate the number of guests you are bringing and/or provide their name(s)
Submit
Should be Empty: