Please complete the following form if you would like to receive ongoing information from the LGBT Faculty and Staff Association. Demographic questions are optional and all members of the GVSU community are invited to participate. For the most up-to-date contact information for questions or to learn more about the LGBT Faculty and Staff Association, please see the association website at b7o4.eraglobe.com/lgbtfacstaff.

First Name *

Last Name *

Pronouns
She/her/hers
They/them/theirs
He/him/his
Not listed Please specify a value for Pronouns

Email *

Phone

GVSU Affiliation *
Faculty
Staff
Graduate Student
Undergraduate Student
Not listed Please specify a value for GVSU Affiliation

Race or Ethnicity
Asian or Asian American (including Pacific Islander)
Black or African American
Hispanic or Latino
Native American or American Indian
White
Not listed Please specify a value for Race or Ethnicity

Do you identify as (select one)
- Select Option Cisgender (you identify with the gender you were assigned at birth) Transgender (you identify with a gender different from what you were assigned at birth)

Gender identity (select all that apply)
Woman
Man
Non-binary
Genderqueer
Not listed Please specify a value for Gender identity (select all that apply)

Do you identify as LGBTQ+?
- Select Option Yes No Not listed Please specify a value for Do you identify as LGBTQ+?

Do you identify as International?
- Select Option Yes No Not listed Please specify a value for Do you identify as International?

Questions or Comments