SNAPIQS Membership Form
Thank you for your interest in joining the SNAPIQS, aka Southern Nevada Asian Pacific Islander Queer Society!

The Southern Nevada Asian Pacific Islander Queer Society (SNAPIQS) serves all Asian, Pacific Islander, and Desi American of all sexual orientations, gender identities, and gender expressions (SOGI/E or LGBT*) in the Southern Nevada region. Through social and cultural activities, education, mentorship, awareness, and advocacy, we aim to create an inclusive, affirming, and empowering community.

Joining the organization is FREE!

For more info, visit www.snapiqs.org!
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First Name *
Last Name *
Preferred Pronouns *
(he/him/his; she/her/hers; they/them/theirs/; etc)
Email Address *
Phone # *
Format Example: (7024445555)
Birthday *
MM
/
DD
/
YYYY
What gender do you identify as? *
Cisgender refers to your sex assigned at birth and gender aligning.
What sexual orientation do you best identify with? *
Required
Which of the following best describes your race? *
Required
What best describes your ethnicity? *
Ethnicity is how you identify based on nationality, language, culture and religion. It can also be based on your geography or your family's origin. Examples include: Algerian, Burmese, Chinese, Filipino, Ghanaian, Indian, Lao, Japanese, Thai, Vietnamese, etc.  
Where in Southern Nevada do you reside? *
Why are you interested in being part of the SNAPIQS community? *
Please rate your interest in the following events from 1 (least favorite) to 4 (most favorite). *
1
2
3
4
Social Events
Cultural Events
Advocacy/Political Events
Education/Workshops
Organization Planning
Community Outreach
Please select the top three days and times where you would be most available for SNAPIQS activities.
Activities include events and general meetings.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning (8am- 12pm)
Afternoon (12 pm - 5pm)
Evening (5pm - 9pm)
How did you hear about us? *
Required
What is your preferred method of communication?
Questions, comments, concerns?
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