Hudson County LGBTQ+ Taskforce Application

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Daytime Phone *

Evening Phone

Email Address *

Are you a resident of Hudson County? *

Yes

No

What are your pronouns?

How do you identify?

Hudson County LGBTQ+ Taskforce eligibility requires that applicants be 18 years of age or older and not be a current Hudson County employee. The Hudson County LGBTQ+ Taskforce requires members to meet four times per year (once a quarter). Do you meet the eligibility requirements, and can you commit to 18-24 hours for the Hudson County LGBTQ+ Taskforce in the coming year? *

Yes

No