Transgender, Nonbinary, and Gender Expansive Economic Empowerment Project Interest Form

Thank you for participating in the Town Hall for the Transgender, Nonbinary, and Gender Expansive Study which shared findings and recommendations from the survey. This form is an opportunity to stay up to date or get more involved with the next steps of the project.

Please contact the Office of LGBTQ Affairs with any questions, lgbtq@ceo.sccgov.org or (408)678-2900.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Phone Number (optional)

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* 5. Do you live and/or work in Santa Clara County?

Yes

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* 6. Are you completing this form as a transgender, nonbinary, and/or gender nonconforming community member or as an employee at an organization?

Transgender, nonbinary, and/or gender nonconforming community member

Employee at an organization

Both a transgender, nonbinary, and/or gender nonconforming community member and employee at an organization