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Interest Form

Parents for Transgender Equality Network

Add your name to the growing list of Parents for Trans Equality Network.

Note: "Transgender" in this context refers to all young people who identify with a gender other than the one assigned to them at birth. This includes trans boys, trans girls, and non-binary, genderfluid, and otherwise gender-expansive youth.

*Please note that any information provided below will NOT be used in any public capacity without your consent.
1.First Name(Required.)
2.Last Name(Required.)
3.What name would you like to be used to refer to you publicly?(Required.)
4.What are your pronouns?(Required.)
5.Street Address(Required.)
6.Apartment # or Unit
7.In which state do you reside?(Required.)
8.Zip Code(Required.)
9.Email(Required.)
10.Phone Number(Required.)
11.How many transgender children do you have?(Required.)
12.What is(are) the age(s) of your transgender child(ren)?(Required.)
13.If your child has language for their gender identity, please include it below:(Required.)
14.School district of your child(ren):(Required.)
15.What is your congressional district?(Required.)
16.What languages do you speak fluently?(Required.)
17.Which of the following best describes you and your family? Please select all that apply.
18.Which of the following best describe you and your family? Please select all that apply.
19.Are you willing to share your story publicly, with the media?(Required.)
20.Are you willing to share your story publicly with elected officials? For example, testifying at a legislative hearing.
21.Are you willing to share your story privately in meetings with elected officials or other policy makers?
22.Are you willing to speak with members of the media “off the record” or with anonymity?
23.Are you employed at a company or institution that participates in one of HRC’s Equality Indexes, e.g. the Corporate Equality Index, the Healthcare Equality Index?
24.What (if any) transgender-specific advocacy do you have experience with? Your past experience may include:

- Advocating within your school or local community on behalf of your child
- Training educators, health care providers, or other professionals on transgender inclusion
- Advocating more broadly at the county or state level (for example, Lobby Days, testifying at community forums, visiting with elected officials)