gsareport

Gay Straight Alliance/Student Group Update Report

Thank you for completing this survey to better help us keep our database up to date. The LGBT National Help Center receives calls and chats from youth all over the country looking for local support and community and being able to point them in the right direction can be a huge step forward in their personal journey.

Please fill out the survey below to your best ability. Questions with a RED * are required Fields.

Student Group Update Report

* Indicates required field

Institutions's name (i.e. JFK High School) *

Student Group's name: (I.E. GSA) *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Name of person filling out report *

email of person filling out report *

This group is currently: *

Active Inactive

(If this group is inactive, please skip to the bottom of the page and click submit.)

Group or institution's Phone Number *

Group's email *

Advisor *

Advisor's phone number *

Advisor's Email *

Group's website *

Social media page (I.e Facebook/twitter) *

Description of Student Group *

This group is for *

Middle School/Elementary High School College Other

If other, please specify *

Submit