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Any descriptors about your identities or social location that you want to share (race, class, sexual orientation, gender, etc.)(required)

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What services do you offer that are relevant to queer conception, birth, childbearing, and/or parenting?(required)

Is there anything else you want us to know about you/what you offer?

What is your level of experience working with trans people? (select all that apply)(required)

I am an ally but have not worked with trans people I am LGB but have not worked with trans people I am trans/enby/GNC but have not worked with trans people I have worked with one or a few trans people I have worked extensively with trans people My work centers queer and trans experience

What is your level of exposure to queer and trans education, and your level of commitment to continued education around providing queer and trans care? (select all that apply)(required)

I have not done any continued education but am interested in being a cis ally provider I have not done any formal continued education but I have lived experience as a trans person I have independently read and researched I have taken one or a few classes I have taken more than a few classes I am committed to learning more and am always seeking out new information I train others on trans-affirming practice

What does being a trans-competent provider mean to you?(required)

Is there anything you shared with us on this form that you do not want to be shared publicly?

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