LGBTQ+ Child Welfare Southwest Virtual Convening Registration Form

October 30, 2024, 10 am - 2 pm via Zoom

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* 1. Name

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* 2. Pronouns

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* 3. Organization (if any)

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* 4. Title (if applicable)

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* 5. Email

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* 6. Please enter your phone number for registration troubleshooting, if needed.

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* 7. What is your connection with the child welfare system? (Select all that apply)

Person with lived experience

Relative/kin

CASA/GAL

Attorney for child

Attorney for parent

Judge

Tribe/tribal coalition

Foster parent

State child welfare agency

Contract agency/service provider

Teacher

LGBTQ+ service provider/community org

Other (please specify)

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* 8. Are you LGBTQ+?

Yes

No

Decline to answer

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* 9. My level of knowledge of best practices for LGBTQ+ youth in the child welfare system...

needs improvement

is okay

is strong

needs improvement

is okay

is strong

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* 10. Please click "Send me a copy of my responses via email" for registration confirmation. We will send the link to attend closer to the date of the Convening.