Gender Affirming Surgery Grant Application

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DR DHT gives out this grant. It is open to transgender, nonbinary and other trans identifying people who are in need of funding for gender affirming surgery such as; top surgery, bottom surgery and more. It can be used for any costs associated with surgery, including travel, supplies, hotel and more.

Please include more information about your situation in the last question, and any factors you'd like us to consider.

Email *

Record my email address with my response

What is your full name? *

What is your Instagram handle? *

What's a good contact email to get ahold of you? *

What is your identity? (trans man, trans masc, trans woman, non binary etc.) *

What are your pronouns? *

What surgery are you needing funding for right now? *

Top surgery

Bottom surgery

Other:

Do you have a surgery date set already? *

Would you consider yourself low income? *

Yes

Maybe/unsure

How would you describe your need for donations when it comes to acquiring this gender affirming surgery? *

very high need, completely relying on donations, no savings or health coverage

high need, largely relying on donations but not fully

partial need, relying on some donations, but have/will have some personal funds/health coverage

somewhat relying on donations, have personal funding/or some health insurance coverage, but donations would help

Not relying on donations but they would help

Other:

Paste the link to your Gofundme or other donation platform. *

How did you find out about this grant? *

From the creator/creator's social media page

From someone sharing it on social media

Other:

Agreements

I (person applying) understand the applying does not secure me the grant. Numerous people will apply and there will be a recipient(s) who will be notified if they are chosen. *

I understand.

If I (person applying) receive the grant, I ensure it will be used for my own gender affirming surgery costs. *

This is correct.

If you are chosen as the grant recipient, are you comfortable with being reposted and tagged on social media as the winner? *

Yes

Other:

Is there any information you'd like to include, or be considered in the application process?

Send me a copy of my responses.

Submit

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