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PACT - Get Involved
This is a form for professionals who would like to become involved with the Professional Alliance Combating Transphobia.


Please provide your contact information, details about your field of work, and your experience below, and we will be in touch with you shortly.

*Required
Name *
Your full name
Your answer
Email address *
Your answer
Contact telephone number *
Your answer
Profession *
What is your profession?
Required
Province *
In which province are you based?
City *
And in which city?
Your answer
Are you able to offer long-distance consultation to clients? *
E.g. consultation via Skype
Do you personally identify as transgender? *
Please briefly detail your experience in working with transgender patients or clients *
Minimum 100 characters
Your answer
Which organisations, if any, are you affiliated with?
Your answer
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