Street Address: City: State: Zip:
We ask for your address so we can begin to compile a list of GLBT identified/sympathetic alumni. We want to begin to reconstruct our shared history and to build our future.

Please tell us one or two things about your current situation, i.e. career, family, community, hobbies, etc.

How do you identify yourself?(Optional)
Lesbian Gay Bisexual/affectionate Transgender/sexual Queer Questioning Straight Other

Please share with us your past and present experiences of issues around sexual orientation at Earlham College:

In order to encourage a continuing conversation and awareness, we might like to share these experiences on the website. We would also like to ensure your confidentiality.
May we post your experiences?
Yes No
May we use your name? Yes No

Thank you for your time!

When you click the "Submit" button, you will recieve an Alert! message. Please click "OK". Although the form will not change, your form will have been submitted, and you may continue exploring the site.