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Identity Security Form
The following form is to ensure the safety of our members. All information is utilized directly in security procedures.
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* Indicates required question
What are your name and pronouns?
*
Your answer
Is the above information how we may address you at these times? Please mark all situations which are safe and comfortable for you for us to use the provided name and pronouns.
*
In the Phoenix
In Public
With friends
With (our) family
With (your) family
On campus
With classmates
With staff/administration
In publications
Online
Ask me directly
None
Other:
Required
In what situations may we refer to you as a Phoenix member?
*
In the Phoenix
In Public
With friends
With (our) family
With (your) family
On campus
With classmates
With staff/administration
In publications
Online
Ask me directly
None
Other:
Required
In what situations may we refer to your identity within the community?
*
In the Phoenix
In Public
With friends
With (our) family
With (your) family
On campus
With classmates
With staff/administration
In publications
Online
Ask me directly
None
Other:
Required
For any situation for which this is NOT safe- how would you like us to refer to you? (Vague indicators are definitely an option "that person", "my friend", etc.)
Your answer
What else would you like us to know?
Your answer
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