Empress Voice Support Teams Registration Form
Empress Voice is creating groups where members can support one another with our goals and needs off app. For the protection of the groups, members must be 18+.
Attendee Details:
Name
*
First Name
Last Initial
E-mail
*
example@example.com
TIK Tok User Name
Age
Preferred Pronouns. i.e. (She/ Her, They/Them, He/Him, etc.)
Which Racial Identities Best Describe You?
Black / African-American
Latinx or Hispanic
Asian
Pacific Islander or Hawaiian
Indigenous
White or Caucasian
Other
How do you describe yourself? (Check one.)
Male
Female
Transgender
Non-binary
Genderqueer
Genderfluid
Gender non-conforming
Prefer not to say
Other
Which Topics Interest You? (select all that apply)
Goals and Visions
Productivity
Meditation / Emotional Healing
Public Speaking
Deconstructing Colonization
Other
Any additional information /comments?
Interview Appointments
Interviews will be held starting in 2025 with potential members to determine readiness and interest levels in each type of support group.
Interview appointment - Please select the best date and time to meet for an on camera interview to discuss your support interests.
Submit
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