LGBTQIA+ Task Force: Intent to Participate Form Question Title * 1. What is your name? Question Title * 2. What is your role at CCA? APT Staff Classified Staff Faculty Instructor Student Other (please specify) Question Title * 3. What department do you work in? Question Title * 4. What is your CCA email address (or best email address) so we may contact you? Question Title * 5. Please rank the following Task Force goals in order of your interest (most interest at the top, least interest at the bottom): Question Title * 6. Please write a bit about why you are interested in joining the LGBTQIA+ Task Force: Question Title * 7. What experiences, skills, and/or strengths can you bring to this Task Force and our goals of: - increasing LGBTQIA+ visibility on campus- educating and fostering understanding- providing support and resources- and advocating for the LGBTQIA+ community? Question Title * 8. Would you have any interest in seeing, building, and/or joining a LGBTQIA+ Affinity Group at CCA?(This would be a space that is committed to providing professional development, networking, and community building opportunities for the LGBTQIA+ self-identified faculty, staff, and instructors at CCA. This is different than the existing Task Force as you do not have to belong to the LGBTQIA+ community in order to serve on the Task Force and meet the goals.) Yes No Unsure Other (please specify) Next