Michigan LGBTQ+ Social Work Committee

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Thank you for your interest in the NASW-Michigan LGBTQ+ Social Work Committee. Please complete the short survey below to let us know a little more about you and what you hope to get from and bring to the committee. Meetings are currently held via Zoom the first Tuesday of the month from 12-1pm.

The LGBTQ+ Committee aims to be a safe, brave and supportive space for LGBTQ+ identifying social workers and their allies. This will be a space for community advocacy, discussion of LGBTQ+ social justice initiatives, and education opportunities for different subsets of the queer and trans and gender diverse/nonconforming community.

The information gathered from this form will be accessible to Chapter leadership and committee members by request.

Email *

First Name *

Last Name *

Pronouns *

she/her/hers

he/him/his

they/them/theirs

ze/hir/hirs

Prefer not to include

Other:

Where are you located in the NASW-Michigan Regional map? *

Region 1 (Upper Peninsula)

Region 2 (Northwest - Emmet, Charlevoix, Antrim, Kalkaska, Missaukee, Osceola, Lake, Mason, Manistee, Wexford, Grand Traverse, Benzie, Leelanau)

Region 3 (Northeast - Cheboygan, Presque Isle, Otsego, Montmorency, Alpena, Crawford, Oscoda, Alcona, Roscommon, Ogemaw, and Iosco)

Region 4 (West - Oceana, Newaygo, Mecosta, Muskegon, Montcalm, Ottawa, Kent, Ionia)

Region 5 (Clare, Gladwin, Arenac, Isabella, Midland, Bay, Gratiot, Saginaw)

Region 6 (Capitol Region - Clinton, Ingham, Eaton, Shiawassee, Livingston)

Region 7 (Genesee, Tuscola, Huron, Sanilac, Lapeer, Saint Claire)

Region 8 (Oakland/Macomb)

Region 9 (Southwest - Allegan, Barry, Van Buren, Kalamazoo, Calhoun, Berrien, Cass, St. Joseph, Branch)

Region 10 (Southeast - Jackson, Washtenaw, Hillsdale, Lenawee, Monroe)

Region 11 (Wayne County)

Are you an NASW member? *

Yes

Please choose the most accurate option for you *

BSW or MSW student

BSW or MSW graduate with degree (unlicensed)

LLBSW or LBSW

LLMSW or LMSW

DSW or PhD

Other:

What is your area of social work practice? (ex: mental health, policy development, grantwriting, child welfare) *

How would you best describe your current social work role? *

Are there specific things you are hoping to get out of the committee or see us work on? *

What is your current capacity as it relates to joining the committee? *

Name added to group listserv, but I do not have the capacity to participate at this time

Attending regular meetings (Meetings are currently held via Zoom the first Tuesday of the month from 12-1pm.)

Interested in a leadership position (ex: co-chair or sub-committee chair)

Required

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