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GSA Site Visit Request Form
*
Indicates required field
What is the name of your school?
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School Address
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Line 1
Line 2
City
State
Zip Code
Country
Name(s) of person(s) filling out this form.
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Your position and/or title:
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Pronouns
*
Email:
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Phone:
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Where does your GSA meet? (school, library, etc.)
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What is your preferred site visit date and time?
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i.e. 12/12/13 at 2:00-3:00pm
If we can't do a site visit on your preferred date and time, what is your secondary choice for date and time?
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i.e. 12/12/13 at 2:00-3:00pm
Would you prefer an in-person or a virtual site visit?
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In-person
Virtual
Either
Current advisor(s) and years served:
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On average, how many students typically come to your GSA meetings?
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Does your GSA have elected officers?
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Yes
No
Unsure
Does your GSA have a mission statement?
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Yes
No
Unsure
Does your GSA have a constitution?
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Yes
No
Unsure
Which of the following activities applies to your GSA (Check all that apply)
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Support/discussion group
Social gatherings and hanging out
Campus education, activism, and campaigns
Does your GSA organize with other student groups on campus?
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Yes
No
Unsure
GSA Activities, Events, and Campaigns
Has your GSA organized any of the following Days of Action or events in the past year? (Check all that apply)
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Day of Silence
Transgender Day of Remembrance
National Coming Out Day
LGBTQ History Month
LGBTQ Black History Month
Held 1 or more fundraisers
Delivered peer education workshops (workshops for your classmates)
Delivered teacher education workshops (workshops for your teachers)
Conducted a school climate survey (about homophobia and transphobia in your school)
Ally Week
No Name Calling Week
GSA Day
Spirit Day
None
Other
If "Other" please list
*
In what ways could The Ohio GSA Network help you most?
*
Submit
Programs
Center Based Programs
>
Genderscope
Community Based Wellness
Ohio GSA Network
Community Education
>
KnowTheFacts
Ohio Thrives
Advocacy
Resources
Get Involved
As a Youth
As a Guardian
As a Community
>
Blog
As a Volunteer
Calendar
Donate
Other Ways To Give
The Unity Soiree
KYC Unity Circle
Wish List
KYC Store