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Cypress College LGBTQ+ Student Interest Form
Thank you for your interest in LGBTQ+ resources, support, and community at Cypress College.
We look forward to connecting with, learning from, and serving you.
The information you provide here will only be used by the campus LGBTQ+ support staff. Your information will not be shared in any way that will out you. It will be used to better serve you.
If you have any questions or concerns, please contact the campus LGBTQ+ support staff at
Q@cypresscollege.edu
.
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Banner ID
(8-digit Student ID Number)
Your answer
Last Name
Your answer
Chosen First Name
If this is different from your legal name, you can update Canvas, faculty rosters, and your student ID card to reflect your chosen name if you would like. Go to
bit.ly/CC-ChosenName
for more information.
Your answer
Pronouns
(check all that apply)
she/her/hers
he/him/his
they/them/theirs
Other:
Preferred Email Address
Please provide an email address where you feel comfortable receiving LGBTQ+-related information. This may be your campus email address or another personal email address.
Your answer
Please add me to the Cypress College LGBTQ+ Canvas page for updates and resources.
Yes
No
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