JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Cornell Out & Ally List
Add your name to the Cornell Out & Ally List!
Managed by Cornell University LGBT Resource Center and oSTEM@Cornell.
Cornell University LGBT Resource Center:
lgbtrc.cornell.edu
oSTEM@Cornell:
http://ostematcornell.weebly.com/
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full Name
*
Your answer
Program/Field of Study/Department (please type the complete name)
*
Your answer
Which of the following describe you?
*
I am out and proud!
I am an ally!
Other:
Position
*
Undergraduate Student
Graduate Student
Staff
Faculty
Other:
Title
Your answer
E-mail: Your e-mail information will be kept confidential unless you explicitly give us permission to publish it
*
Your answer
Would you like to make your contact information public?
*
Yes
No
Website (personal website, group website, etc.)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
