Qualtrics Survey | Qualtrics Experience Management

Please enter your contact information below:

First Name

Last Name

Email

Department

Position (Faculty, Staff, resident/fellow/postdoc, or student)

Campus Box

Cell Phone Number (in case we need to contact you about T-shirts or volunteering)

I plan to march in the parade on Sunday, June 25th, 2023 from 12-2pm (will likely need to be there two hours early).

Yes
No

How many people do you plan to bring? (Not including yourself. Write in number, ex "4" instead of "four")

OUTmed will have a booth at St. Louis PrideFest on June 24th and June 25th. We need volunteers to work the booth during PrideFest to hand out resources and provide verbal education. The booth will focus on mental health resources for LGBTQIA+ individuals along with other WUSM information. If interested, please provide your availability. We will confirm your volunteer times via email.

I am available to volunteer to help with the OUTmed information booth:

Saturday, June 24th from 10:00am-12:00pm
Saturday, June 24th from 12:00-2:00pm
Saturday, June 24th from 2:00-4:00pm
Saturday, June 24th from 4:00-6:00pm
Sunday, June 25th from 10:00am-12:00pm
Sunday, June 25th from 12:00-2:00pm
Sunday, June 25th from 2:00-4:00pm
Sunday, June 25th from 4:00-6:00pm
I am unable to volunteer.