Thank you for being interested in our new LGBTQ+ Peer Advisory Committee and for taking the time to tell us a bit about yourself and your interest in this work. Responses are due by May 31st, 2021, and we will respond back in early June!

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* 1. What is your Name?

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* 2. What is your email address?

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* 3. What is your phone number?

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* 4. What city/state do you live in?

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* 5. Confirm you are 18+

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* 6. Why are you interested in joining The Q Corner's new LGBTQ+ Peer Advisory Committee?

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* 7. What is your interest in and personal connection to the LGBTQ+ community?

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* 8. What skills, experience, network, etc. would you bring to the Committee?

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* 9. What is an example of an event or idea you'd want to see the Committee help create?

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* 10. How much time can you commit to the Committee each month?

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* 11. What are the best days and times for you to attend monthly Committee meetings?

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