Please complete the following form if you would like to receive ongoing information from the Latin@ Faculty and Staff Association. Demographic questions are optional and all members of the GVSU community are invited to participate. For the most up-to-date contact information for questions or to learn more about the Latin@ Faculty and Staff Association, please see the association website at www.gvsu.edu/lafsa.

First Name *

Last Name *

Pronouns
She/her/hers
They/them/theirs
He/him/his
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Email *

Phone

GVSU Affiliation *
Faculty
Staff
Graduate Student
Undergraduate Student
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Race or Ethnicity
Asian or Asian American (including Pacific Islander)
Black or African American
Hispanic or Latino
Native American or American Indian
White
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Do you identify as (select one)
- Select Option Cisgender (you identify with the gender you were assigned at birth) Transgender (you identify with a gender different from what you were assigned at birth)

Gender identity (select all that apply)
Woman
Man
Non-binary
Genderqueer
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Do you identify as LGBTQ+?
- Select Option Yes No Not listed Please specify a value for Do you identify as LGBTQ+?

Do you identify as International?
- Select Option Yes No Not listed Please specify a value for Do you identify as International?

Questions or Comments