Trans Voices Resource Directory Intake Form

Organization Name

Website URL

Category / Service Type

What area do you serve in

Other

Location

If In-Person or Hybrid, what is the Address?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Description of Services or Organzation

Logo

Ideally a .png file with clear background

Name

First NameLast Name

Title

Email

example@example.com

Phone Number

This will not be shared publicly Format: (000) 000-0000.

Terms of Publication & Consent

By submitting this form, I confirm that:

Authority: I am authorized to submit information on behalf of the organization listed above.
Accuracy: All information provided is accurate, up to date, and suitable for public display.
Media & Content License: I grant [Your Organization Name] non-exclusive permission to display our organization's name, logo, description, contact details, and submitted promotional images on the community resource page and associated communications.
Updates & Removal: I understand that [Your Organization Name] reserves the right to review, edit for formatting, or remove listings to maintain directory quality. We may request updates or removal of our listing at any time by contacting [Your Support Email].

Authorized Signatory Name

Signature

Date

Trans Voices Resource Directory Intake Form

Basic Organization Details

Contact Information

Permission & Consent

Terms of Publication & Consent