Professional Documents
Culture Documents
Are you in school now? If yes, which school and year? ______________________________
OutSpoken Youth Educator
Self Evaluation
What experiences, interests and/or skills are you comfortable and knowledgeable to
speak about (this helps us decide who to put on specific panels). Please check all
that apply:
□ Experiences around school □ Dealing with parents □ Coming out
□ Gender-related issues □ Bullying □ Religion
□ Sexuality-related issues □ Homelessness □ Poverty
□ Immigration □ Race □ Disability
□ Families that aren’t married □ Foster care □ Healthy relationships
□ Siblings □ Drugs and alcohol □ Suicide
□ Depression □ Relationship violence □ Leadership
□ Other things:____________________________________________________________________
__________________________________________________________________________________
What are two goals you have for yourself in the next year?
1)
2)
What are ways you feel the NW Network can best support you?
Any additional information you would like to share with the program or feel would be
helpful for us to know?
OutSpoken LGBTQ Youth Speaker’s Bureau a program of
The Northwest Network of Bisexual, Trans, Lesbian & Gay Survivors of Abuse
Statement of Rights
2) Every participant has the right to determine their needs and discontinue
participation in the program at any time.
4) A participant has the right to file a complaint with The NW Network if they feel
their rights have been violated. The participant should use the grievance
procedure outlined below. Each participant has the right of appeal in any
recommendation, opinion, or decision that is the outcome of the grievance
procedure.
Grievance Procedure
___________________________
OUTSpoken Participant/Date
For more information or questions contact The Northwest Network of Bi, Trans, Lesbian & Gay Survivors of Abuse:
206-568-7777 (phone) info@nwnetwork.org