Request Contact from an LGBTQ Ally Mentor

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If you'd like to ask a question, get information on setting up a training event, or have any other request for the LGBTQ Ally Mentors, you can use this form to get what you need! An LGBTQ Ally Mentor will respond to you within your requested timeframe to answer your inquiry or set up a meeting.

This is just one of the many ways to get connected with an LGBTQ Ally Mentor.

This color and the * symbol indicate a required field

This color and the absence of a * symbol indicate an optional field

Section 1: Contact Information
*Name:
Have you attended an LGBTQ (Safe Zone) Ally Training Session at St. Norbert and signed the Ally Pledge?	Yes
Campus Role: (Faculty, Staff, SNC Undergraduate Student (class year), SNC Graduate Student, or Other Guest)
*E-mail address:	If you have an SNC email address, please enter it.
Phone Number:	Can we leave a voicemail message? Green Bay/De Pere area local numbers preferred
On-campus mailing address:
Section 2: Communication Preferences
*Preferred contact method:
Should we add you to the Rainbow Alliance email discussion list?	Yes!
Should we notify you when applications are available to become an LGBTQ Ally Mentor?	Yes!
Should we notify you when new LGBTQ Ally Training Sessions are scheduled?	Yes!
*Reply to this request preferred:	If you need emergency/crisis support, do not use this form - see our resources page
Section 3: Your Question or Comment
*Type of Request:
Question or Additional Message: