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CORE Interest Form

CORE - Community OUTreach Educators - is the LGBT Resource Center's peer education program. CORE members are trained to educate others regarding sexual orientation and gender identity; raise awareness of the LGBTQIA+ and allies community, and represent the LGBT Resource Center.

This interest form is required to become a future CORE member. Students of all sexual orientations & gender identities may join CORE.

After completing any required training, CORE members may speak on panels, outreach to the UCR campus, and support educational programs. We also bring together CORE members for special events, celebrations, and other community-building activities.

Your first step to becoming a CORE member is to complete this interest form. LGBTRC Program Coordinator Kade Lukiyo will contact you regarding Fall events for students interested in joining CORE.

The next step to officially join CORE will be to attend a required CORE Retreat on Saturday, November 2, 2024.

You do not need any prior experience speaking on panels or otherwise reaching out or educating. Also, you are not required to speak on panels until you feel ready.

If you have any questions, please contact LGBT Resource Center staff:
Kade Lukiyo, kade.lukiyo@ucr.edu

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* 1. First Name/Lived Name (as you would put on a name tag):

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* 2. Your pronouns(if none, put "just my name"):

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* 3. Full Name, First and Last (as it appears on your student ID):

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* 4. Student ID Number:

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* 5. UCR E-mail Address:

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* 6. Cell Phone Number:

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* 7. Please indicate your student status:

1st year

2nd year

3rd year

4th year

5th year +

graduate student

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* 8. What is your major or graduate program?

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* 9. Why do you wish to become a CORE member?

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* 10. Which activities are you interested in doing as a CORE member?

Table at the Bell Tower or at UCR recruitment events (e.g. Highlander Day)

Speak on panels for UCR audiences (classrooms, seminars, other educational events)

Assist with educational program support (e.g. setting up for events)

Leading or facilitating educational programs beyond panels

Other (please describe):

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* 11. How would you rate your level of knowledge and comfort talking about the following topics?

	no knowledge	some knowledge	knowledgeable	very knowledgeable
LGBTQ+ terminology	LGBTQ+ terminology no knowledge	LGBTQ+ terminology some knowledge	LGBTQ+ terminology knowledgeable	LGBTQ+ terminology very knowledgeable
Coming Out	Coming Out no knowledge	Coming Out some knowledge	Coming Out knowledgeable	Coming Out very knowledgeable
Queer/LGBTQ+ history	Queer/LGBTQ+ history no knowledge	Queer/LGBTQ+ history some knowledge	Queer/LGBTQ+ history knowledgeable	Queer/LGBTQ+ history very knowledgeable
Bisexuality	Bisexuality no knowledge	Bisexuality some knowledge	Bisexuality knowledgeable	Bisexuality very knowledgeable
Pansexuality	Pansexuality no knowledge	Pansexuality some knowledge	Pansexuality knowledgeable	Pansexuality very knowledgeable
Asexuality/Aromanticism	Asexuality/Aromanticism no knowledge	Asexuality/Aromanticism some knowledge	Asexuality/Aromanticism knowledgeable	Asexuality/Aromanticism very knowledgeable
Gender Identity and Expression	Gender Identity and Expression no knowledge	Gender Identity and Expression some knowledge	Gender Identity and Expression knowledgeable	Gender Identity and Expression very knowledgeable
Intersections of queer identity and race & ethnicity	Intersections of queer identity and race & ethnicity no knowledge	Intersections of queer identity and race & ethnicity some knowledge	Intersections of queer identity and race & ethnicity knowledgeable	Intersections of queer identity and race & ethnicity very knowledgeable
LGBTQ+ youth & bullying	LGBTQ+ youth & bullying no knowledge	LGBTQ+ youth & bullying some knowledge	LGBTQ+ youth & bullying knowledgeable	LGBTQ+ youth & bullying very knowledgeable
Religion and/or Spirituality	Religion and/or Spirituality no knowledge	Religion and/or Spirituality some knowledge	Religion and/or Spirituality knowledgeable	Religion and/or Spirituality very knowledgeable
Laws relating to LGBTQ+ folks (both supportive and discriminatory)	Laws relating to LGBTQ+ folks (both supportive and discriminatory) no knowledge	Laws relating to LGBTQ+ folks (both supportive and discriminatory) some knowledge	Laws relating to LGBTQ+ folks (both supportive and discriminatory) knowledgeable	Laws relating to LGBTQ+ folks (both supportive and discriminatory) very knowledgeable
being an ally to LGBQ people	being an ally to LGBQ people no knowledge	being an ally to LGBQ people some knowledge	being an ally to LGBQ people knowledgeable	being an ally to LGBQ people very knowledgeable
being an ally to trans people	being an ally to trans people no knowledge	being an ally to trans people some knowledge	being an ally to trans people knowledgeable	being an ally to trans people very knowledgeable
being an ally to people of color	being an ally to people of color no knowledge	being an ally to people of color some knowledge	being an ally to people of color knowledgeable	being an ally to people of color very knowledgeable
being an ally to the undocumented community	being an ally to the undocumented community no knowledge	being an ally to the undocumented community some knowledge	being an ally to the undocumented community knowledgeable	being an ally to the undocumented community very knowledgeable

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* 12. If you feel you are knowledgeable about a topic not mentioned above, or a specific religion or ethnic/racial community, then please explain:

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* 13. During panels, students introduce themselves with a "personal vignette." This vignette includes : information on your status as a student (year, major, organizations you are involved in), how you'd describe your sexual orientation and gender identity or expression, other identities that may be important to you (faith, ethnicity, etc), and any hobbies or interests you'd like to share. The purpose of the vignette is to make a personal connection with the audience and to give them enough information to spark follow-up questions.

A sample vignette: "Hi, my name is Zuko and my pronouns are he/him. I am a first-year and undeclared. I identify as a pansexual man. I grew up in the city of Caldera in the Fire Nation. I am active in the martial arts club, and work at the Jasmine Dragon Tea Shop. In my free time, I am the crown prince of the fire nation. I also enjoy saving the world with my friends. A lot."

Please write below a personal vignette for yourself that you might share on a panel.

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* 14. Are you willing and/or able to be featured on Social Media as a CORE member or for LGBTQ+ events?

Yes

Unsure

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* 15. What is your T-Shirt size?

Small

Medium

Large

X-Large

2XL

3XL

4XL

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* 16. Please describe your meal preference:

Vegan

Vegetarian

Meat-friendly

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* 17. Are you able to drive yourself to off-campus activities?

Yes

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* 18. Please share your needed ADA-related accommodations. If you do not need accommodations please check NO. If yes, please share needed accommodations.

Yes - Please share:

CORE Interest Form

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* 1. First Name/Lived Name (as you would put on a name tag):

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* 2. Your pronouns(if none, put "just my name"):

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* 3. Full Name, First and Last (as it appears on your student ID):

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* 4. Student ID Number:

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* 5. UCR E-mail Address:

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* 6. Cell Phone Number:

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* 7. Please indicate your student status:

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* 8. What is your major or graduate program?

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* 9. Why do you wish to become a CORE member?

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* 10. Which activities are you interested in doing as a CORE member?

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* 11. How would you rate your level of knowledge and comfort talking about the following topics?

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* 12. If you feel you are knowledgeable about a topic not mentioned above, or a specific religion or ethnic/racial community, then please explain:

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* 14. Are you willing and/or able to be featured on Social Media as a CORE member or for LGBTQ+ events?

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* 15. What is your T-Shirt size?

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* 16. Please describe your meal preference:

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* 17. Are you able to drive yourself to off-campus activities?

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* 18. Please share your needed ADA-related accommodations. If you do not need accommodations please check NO. If yes, please share needed accommodations.

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* 19. Please re-enter your email address:

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* 20. Do you have any questions, concerns, or comments regarding the CORE program?