ASEE LGBTQ+ Advocacy in STEM Virtual Community of Practice Application Form Please complete this brief application to confirm your interest in participating in ASEE's ongoing LGBTQ+ Advocacy in STEM Virtual Community of Practice (VCP). We accept applications at any time; applications will be reviewed and considered on an ongoing basis. We reserve the right to decline applications. Please note that we roll on new members two times per year, in February and August. OK Question Title * 1. Please provide the following basic information. Name Position/Job Title Department Institution State/Province Email Address Daytime Phone Number OK Question Title * 2. Briefly tell us why you would like to participate in the ASEE LGBTQ+ Advoacy in STEM VCP. OK Question Title * 3. Briefly describe your experience as a teacher and/or mentor of STEM students. OK Question Title * 4. Briefly describe any experience you've had working with diverse groups of people, or any activity related to diversity/inclusion/social justice. OK Question Title * 5. Briefly describe your background and/or experience facilitating discussions or group dialogues. Please note that prior experience as a Safe Zone workshop facilitator is not necessary. OK Question Title * 6. Please use the space below if you have any further information or comments. OK If you have any questions about this application or the VCP, please email us at firstname.lastname@example.org or contact PI Stephanie Farrell directly at email@example.com. OK THANK YOU!