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ABOUT
LEADERSHIP TRANSITION
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ABOUT
LEADERSHIP TRANSITION
COMMUNITY FEEDBACK
2023 ANNUAL REPORT
CEO MESSAGE
DENVER PRIDE
WEST OF 50
TRANSGENDER PROGRAM
GLASS LAWLER MENTAL HEALTH
SAGA
RAINBOW ALLEY
COLORADO LGBTQ HISTORY PROJECT
RANGE CONSULTING
DONORS
MISSION & VISION
STRATEGIC PLAN
SHARE YOUR FEEDBACK
OUR TEAM
BOARD OF DIRECTORS
CAREERS
OUR HISTORY
OUR SPACE
CONTACT US
JOIN OUR NEWSLETTER
PROGRAMS
GLASS LAWLER MENTAL HEALTH
SERVICES INTEREST FORM
CRISIS & REFERRAL RESOURCES
FAQS
ABOUT CARMAH LAWLER & KATHY GLASS
YOUTH: RAINBOW ALLEY
THE VENT ROOM
JOIN OUR GSA NETWORK
Q CHAT SPACE
YOUNG ADULTS: SAGA
OLDER ADULTS: WEST OF 50
RESOURCES FOR OLDER ADULTS
SPARK THE CHANGE
TRANSGENDER PROGRAM
NATIONAL CENTER FOR TRANSGENDER EQUALITY
RANGE EDUCATION
BUSINESS PARTNER PROGRAM
COLORADO LGBTQ HISTORY PROJECT
ORAL HISTORY CATALOG
THE WORDS WE TEACH: ART CONTEST
MKHC TRANS HISTORY RESOURCES
RESEARCH & RESOURCES
TERRY MANGAN MEMORIAL LIBRARY
LEGAL RESOURCES
HATE CRIMES
EVENTS
THE CENTER CALENDAR
COMMUNITY EVENTS
SUBMIT AN EVENT
RANGE BUSINESS PARTNER KICKOFF
TRANSFORMATION
DENVER PRIDE
COMMUNITY EVENTS
SUBMIT A PRIDE EVENT
DENVER PRIDE
RESOURCES
RESOURCE DIRECTORY
TERRY MANGAN MEMORIAL LIBRARY
BIENVENIDOS
RESOURCES FOR OLDER ADULTS
BLOG
SUPPORT US
THE OUTPOURING
GIVE
DONATE NOW
VOLUNTEER
JOIN OUR NEWSLETTER
ABOUT
LEADERSHIP TRANSITION
COMMUNITY FEEDBACK
2023 ANNUAL REPORT
CEO MESSAGE
DENVER PRIDE
WEST OF 50
TRANSGENDER PROGRAM
GLASS LAWLER MENTAL HEALTH
SAGA
RAINBOW ALLEY
COLORADO LGBTQ HISTORY PROJECT
RANGE CONSULTING
DONORS
MISSION & VISION
STRATEGIC PLAN
SHARE YOUR FEEDBACK
OUR TEAM
BOARD OF DIRECTORS
CAREERS
OUR HISTORY
OUR SPACE
CONTACT US
JOIN OUR NEWSLETTER
PROGRAMS
GLASS LAWLER MENTAL HEALTH
SERVICES INTEREST FORM
CRISIS & REFERRAL RESOURCES
FAQS
ABOUT CARMAH LAWLER & KATHY GLASS
YOUTH: RAINBOW ALLEY
THE VENT ROOM
JOIN OUR GSA NETWORK
Q CHAT SPACE
YOUNG ADULTS: SAGA
OLDER ADULTS: WEST OF 50
RESOURCES FOR OLDER ADULTS
SPARK THE CHANGE
TRANSGENDER PROGRAM
NATIONAL CENTER FOR TRANSGENDER EQUALITY
RANGE EDUCATION
BUSINESS PARTNER PROGRAM
COLORADO LGBTQ HISTORY PROJECT
ORAL HISTORY CATALOG
THE WORDS WE TEACH: ART CONTEST
MKHC TRANS HISTORY RESOURCES
RESEARCH & RESOURCES
TERRY MANGAN MEMORIAL LIBRARY
LEGAL RESOURCES
HATE CRIMES
EVENTS
THE CENTER CALENDAR
COMMUNITY EVENTS
SUBMIT AN EVENT
RANGE BUSINESS PARTNER KICKOFF
TRANSFORMATION
DENVER PRIDE
COMMUNITY EVENTS
SUBMIT A PRIDE EVENT
DENVER PRIDE
RESOURCES
RESOURCE DIRECTORY
TERRY MANGAN MEMORIAL LIBRARY
BIENVENIDOS
RESOURCES FOR OLDER ADULTS
BLOG
SUPPORT US
THE OUTPOURING
GIVE
DONATE NOW
VOLUNTEER
JOIN OUR NEWSLETTER
Young Adult Program Application and Initial Assessment
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Young Adult Program Application and Initial Assessment
Young Adult Program Application and Initial Assessment
Young Adult Program Application & Initial Assessment
Name
(Required)
First
Last
Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Primary Phone
(Required)
Mobile or Landline?
(Required)
Mobile
Landline
Email
(Required)
Enter Email
Confirm Email
Date of Birth
(Required)
MM slash DD slash YYYY
Pronouns
(Required)
Mark all that apply
They/Them
He/Him
She/Her
Otherwise Specified
Prefer Not To Say
Pronouns - Otherwise Specified
(Required)
Gender Identity
(Required)
Mark all that apply.
Transgender Man (FTM)
Transgender Woman (MTF)
Gender Nonconforming
Gender Fluid
Cisgender Man
Cisgender Woman
Gender Queer
Non-Binary
Two-Spirit
Questions
Otherwise Specified
Prefer Not To Say
Gender Identity - Otherwise Specified
(Required)
Sexual Orientation
(Required)
Mark all that apply
Lesbian
Gay
Bisexual
Heterosexual
Pansexual
Asexual
Questioning
Otherwise Specified
Prefer Not To Say
Sexual Orientation - Otherwise Specified
(Required)
Race/ Ethnicity
(Required)
Click All That apply.
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latina/o/x
Native Hawaiian or Other Pacific Islander
White
Otherwise Specified
Prefer Not To Say
Race/Ethnicity Otherwise Specified
(Required)
Disability Status
(Required)
Check All That Apply.
Autism
Deaf-Blindness
Deafness
Hard of Hearing
Emotional Disturbance
Intellectual Disabilities
Orthopedic Impairment
Specific Learning Disability
Traumatic Brain Injury
Visual Impairment
Developmental Delay
Other Health Impairment
I Do Not Have a Disability
Prefer Not to Say
Disability Status - Other Health Impairment
(Required)
Living Situation
(Required)
Immediate Family
Couch Surfing
Chosen Family
On The Street
Shelter
Residential
Group Home
Renting
Own Home/Apartment
Otherwise Specified
Prefer Not To Say
Living Situation - Otherwise Specified
(Required)
Human Services To Which You Have Been Connected
(Required)
CPS
Foster Care
CSAS
Correctional System
Residential Facility
Otherwise Specified
None
Prefer Not To Say
Human Services To Which You Have Been Connected- Otherwise Specified
(Required)
Level of Education Completed
(Required)
Elementary School
Middle School
High School Graduate / GED
Community College
Some College/ Univeristy
College/University
Post Graduate
Otherwise Specified
Level of Education Completed- Otherwise Specified
(Required)
Are You Currently In School?
(Required)
Yes
No
Prefer Not To Say
Are You in School In-Person, Online, or Are YouHome-Schooled
(Required)
In-Person
Online (Online Teachers Manage the Student's Studies from Afar Within a Structured Curriculum
Home School (Parent or Guardian Acts as Full-Time Instructors) while in online schooling
Prefer Not To Say
Name of School
(Required)
Have You Completed a GED?
(Required)
Yes- Completed
No - Not Interested
No - Interested in GED
No - Interested in Job Training
No - Interested in Job Training & GED
Employment
(Required)
Employed - Full Time
Employed - Part Time
Not Employed
Student
Internship/ Student Worker
Retired
Household Income
(Required)
If you prefer not to disclose, please type "Prefer Not To Say"
Food Security
(Required)
High Food Security (It is easy for me to afford 3 meals a day)
Marginal Food Security (It is relatively easy for me to afford 3 meals a day)
Low Food Security (I have a hard time affording food)
Food Insecure (It is difficult for me to afford food and have to skip multiple meals)
Prefer Not to Say
Health Insurance Status
(Required)
Private Health Insurance (Individual Policy or Provided by Employer)
Parent/Guardian's Health Insurance
State Health Insurance
No Health Insurance
Prefer Not to Say
Health Care System Service Usage
(Required)
Highly Engaged: I am actively engaged in the health care services I have and have minimal or no barriers to accessing health care that I need
Moderately Engaged: I am somewhat engaged in health care services but experience access or barriers to having health care
Low Engagement: I do not engage in health care at all due to lack off access and barriers to having health care
Prefer Not to Say
What is Your Support System
(Required)
Check All That Apply
I have supportive family
I have supportive friend group(s)
I am supported by my school’s staff, if applicable (teacher/professor/staff)
I do not have a support system and seeking to find one
I seek to find more supportive people in my life
prefer not to say
Assessment
LGBTQ+ Knowledge
Do you understand what gender identity is?
(Required)
Yes
No
Somewhat
Do you understand what sexual orientation is?
(Required)
Yes
No
Somewhat
Are you knowledgeable about LGBTQ identities and the people in the community?
(Required)
Yes
Somewhat
No
Are you knowledgeable about the issues surrounding the LGBTQ identifying people of color?
(Required)
Yes
Somewhat
No
Do you understand what intersectionality is?
(Required)
Yes
Somewhat
No
Are you knowledgeable about different cultures surrounding the LGBTQ community?
(Required)
Yes
Somewhat
No
Do you understand what gender expression is?
(Required)
Yes
Somewhat
No
School & Employment
Have you ever made a resume?
(Required)
Yes
No
Have you ever filled out a job application?
(Required)
Yes
No
Do you have a resume that you are confident with using?
(Required)
Yes
Somewhat
No
Have you ever completed a job interview?
(Required)
Yes
No
Have you considered attending college/university or vocational school?
(Required)
Yes
No
I am currently enrolled
Do you know what a FAFSA form is?
(Required)
Yes
No
Do you know how to fill out and locate a FAFSA form?
(Required)
Yes
No
Finances
Do you know how to open a bank account?
(Required)
Yes
No
Are you familiar with ways to save money?
(Required)
Yes
Somewhat
No
Are you familiar with filling your taxes each year?
(Required)
Yes
Somewhat
No
Do you know how to identify scammers?
(Required)
Yes
No
Do you know how credit ratings work?
(Required)
Yes
Somewhat
No
Do you know how to create emergency funds for when you need it in the future?
(Required)
Yes
No
Life Skills
Do you know how to locate the nearest hospital to your home?
(Required)
Yes
No
Are you able to identify at least 3 ways to keep yourself safe when living independently
(Required)
Yes
No
Do you know how to plant produce indoor or outdoor?
(Required)
Yes
No
Do you know how to do basic car repairs such as changing tires, oil checking car fluids?
(Required)
Yes
Somewhat
No
Race Biases
Do you know the definition and meaning of “implicit bias”?
(Required)
Yes
No
Do you know what systemic oppression is and how it affects people of color?
(Required)
Yes
No
Do you know what the definition of “intersectionality”?
(Required)
Yes
No
Are you aware of how privilege and lack having thereof affects different people?
(Required)
Yes
Somewhat
No
Do you know how we hold stereotypes of different people and how that affects people of color?
(Required)
Yes
Somewhat
No
How Did You Learn About The Center on Colfax?
(Required)
Search Engine
Social Media
Friend or Coworker
Other
Would you like to join Saga's Discord Server?
(Required)
Yes
No
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