LGBTQ Support Group Sign-up

The LGBTQ Support Group is a group for graduate and undergraduate students
who identify as lesbian, gay, bisexual, transgender, queer, fluid,
pansexual, asexual, genderfluid, genderqueer, or questioning.
The group is co-sponsored by the Counseling Center and
the Office of Multicultural Student Affairs (OMSA).

The group will meet on Fridays at 2:30 - 4:00pm every week for 9 weeks
beginning Friday, February 22, 2013.

The deadline to apply is Friday, February 22, 2013.

Please provide us with the following information to sign up.

*Name:

*Phone Number:

Gender Identity:

Sexual Orientation:

Race:

Ethnicity:

Academic Level: Undergraduate Student Graduate Student

Where did you hear about this group? (please list all):

Group attendance is important for the cohesiveness of the group. We want to be sure you can attend every meeting. If you have any concerns or questions, please let us know.

Feel free to share any comments or questions you have:

*Required Fields.

We will contact you by phone to introduce ourselves as the group facilitators and
to provide you with the group's meeting location. We will also set up a brief time to meet you,
share more about the group, and to learn more about what you expect from the group.

After completing all fields above, click the SUBMIT button below to sign up for this group.

For more information, please contact:
Susy Gallor or Kway Gordon
UNH Counseling Center
603-862-2090