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Women Out To Win
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Visit Victory Fund
Map
Events
News
Blog
Research
Contact
About
Our Mission
Our History
Board of Directors
Our Team
Career Opportunities
Annual Reporting
Ways To Give
Equality Partners
Trainings
Candidate & Campaign Trainings
Leadership Summits
U.S. Programs
Victory Congressional Internship
Victory Congressional Fellowship
Victory Empowerment Fellowship
David Bohnett Leaders Fellowship
Presidential Appointments Initiative
Coming Out Project
Women Out To Win
Pride & Progress
Elected Officials
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Americas Conference
The Balkans
Colombia
Dominican Republic
Honduras
India
Peru
South Africa
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Become a Sponsor
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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
*
MM slash DD slash YYYY
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
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
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
Comments
This field is for validation purposes and should be left unchanged.
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