Older Adults & Seniors Application

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We will be offering programming for older adults and seniors (age 55+) who are trans, non-binary and gender expansive. The information provided will help us in developing programming and a schedule. Please complete the form on or before April 30, 2024. Travel funding is available for those who need it.

If you have any questions, please contact info@gendergenerations.org

Email *

First Name: *

Last Name: *

Pronouns:
*

Additional contact info (phone number, etc):

Emergency contact (phone number):
*

Name, relationship, and phone number

Age at the start of the retreat:
*

Under 54

55-65

66-75

76 and older

Required

How would you describe your gender identity?

Please check all that apply

Transgender (umbrella term)

Non-binary/Genderqueer

Two-Spirit

Cisgender (identify with the gender you were assigned at birth)

Trans-masculine

Trans-feminine

Female

Male

Other:

Have you ever participated with the Gender Generations Project (including under its previous name the Trans Tipping Point Project)?
*

Yes - parent/caregiver workshops

Yes, as a volunteer

Yes, as a mentor

Yes, as a community connection or guest speaker

No prior interaction

No attendance but have applied before

Other:

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