St. Cloud OUT Resource Directory Request Form

Request to be listed in our Resource Directory

Complete this form to request that your organization be listed in the St. Cloud OUT Resource Directory

St Cloud OUT serves the GLBTA community in the greater St Cloud area. The Resource Directory assists in locating groups or organizations of interest to the GLBTA community.

* denotes required field

Requesting Person's Information:
(For verifying information only. Will not be used in Resource Directory)

Your Name: *

Your E-mail: *

Organization Information:
(For use in Resource Directory)

Organization: *

Contact Person: *

Contact Phone:

Contact E-mail:

Web Address:

Mailing / Street Address:

Mission Statement:

Audience:

Purpose Summary: (check all that apply)

Social	Support	Advocacy	Activism
Education	Events	Coalition	Financial

Organized Meetings:

Activities: