Welcome to Identity Programs!

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Welcome! This form is for LGBTQIA2S+ folx and allies that are interested in participating in Identity clubs/meet ups/programing.
We are currently revamping multiple programs.

To keep up-to-date we have a discord server that is available 24/7 for all community members to connect and make friends in a safe and facilitated space. Click here to join Identity's Discord

If you are 13-18 you will be added to our Q-Club channels. If you are 18+ you can be added to our Gen Q channels.

If you'd like to sign up to become a volunteer with Identity click this form. (If you have signed up in the past please fill out the form again, because the form we used previously lost all of the information it had collected)
To keep up-to-date with us you can always visit our website identityalaska.org or our social media pages @identityalaska on Instagram and Identity Inc on Facebook.

Please answer all the following questions below to complete the form

Email *

What's the name you use? *

What are your pronouns? *

Your Legal First & Last Name (if different than Chosen name)

*We will always keep legal names confidential. We request these solely for emergencies and legal requirements, such as mandatory reporting requirements.*

What is your birth date? *

YYYY

Your Phone Number
*

Zip Code *

Emergency Contact Name (Responsible/trusted adult if you are under 18) *

Emergency Contact Phone Number? *

Emergency Contact Relationship? *

Emergency Contact Email? *

Do you have access to internet/discord? *

Yes

Sometimes

Are you interested in joining the Identity Discord?
Here is the link to join
Once you fill out the form we can add you to the proper channels *

Yes

Maybe

If you're interested in joining our discord, what is your discord username?
*

How did you hear about us? *

Social Media

Website

Friends

Family

Teacher/Counselor

Medical Provider

Other

Required

What types of events would you like to participate in? *

Do you need any accommodations? *

Are you interested in volunteering at Identity? (18+ only) *

Yes

Maybe

What do you hope to get out of Identity's Programs? *

Do you have any drug/food allergies? If so, what are they? *

Anything else you'd like to tell us? *

A copy of your responses will be emailed to the address you provided.

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