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Visit Victory Fund
Map
Events
News
Blog
Research
Contact
About
Our Mission
Board of Directors
Our Team
Career Opportunities
Internships
Annual Reporting
Ways To Give
Trainings
Candidate & Campaign Trainings
Leadership Summits
Programs
Victory Congressional Internship
OUT on the Hill
David Bohnett Victory Congressional Fellowship
Victory Empowerment Fellowship
David Bohnett Leaders Fellowship
Presidential Appointments Initiative
Elected Officials
International
International Census
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Colombia
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Honduras
India
Peru
South Africa
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LGBTQ Victory Institute
International LGBTQI Elected Officials Survey
Share
International LGBTQI Elected Officials Survey
Victory Institute is working to identify LGBTQI elected officials around the globe. If you are an LGBTQI elected official, complete and submit the following questionnaire.
Demographics
Name
*
First
Last
Email
*
Phone
*
Skype User ID
Date of Birth
*
Which of these terms best describes your sexual orientation?
*
Bisexual
Lesbian
Gay
Queer
Pansexual
Same-gender loving
Asexual
Heterosexual
Which of these terms best describes your gender identity?
*
Transgender woman
Transgender man
Woman
Man
Gender non-conforming
Genderqueer/Non-binary
Intersex
Two spirit
Race / Ethnicity
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Saint Martin
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Details about your public office
What kind of public office are you holding?
*
I am an elected official (I won an election)
I am an appointed official (I got hire for the Administration to carry out some portion of a government's sovereign powers
What is the level of the office you are holding?
*
Nation wide position
State level / regional position
Local level position
Name and position of the office you are holding
For example, Congresswoman at the House of Representatives
Date when you took office (month & year)
*
Date when your term expires (month & year)
*
Expertise as an LGBTQI public officer
Areas of LGBTQI Expertise (choose all that apply)
*
Marriage Equality / Civil union
Immigration / Refugees
Transgender Rights
HIV
Intersex rights
LGBTI Youth
Housing/Homelessness
Coming Out
Education
Law reform/Legal
Religion
Inclusive public services / service providers
Other (please describe below)
If selected "other" for areas of expertise, please describe:
Would you like to advise other out or allied elected officials in areas related to your expertise on equality for LGBTQI people?
*
Yes
No
What have you been able to accomplish for the LGBTQI community through your current or past position?
Feel free to share any relevant information, including links to any news
