Name *

First Name

Last Name

Phone *

Country

(###)

###

####

Support You Can Provide: *

Housing or Safe House (short- or long-term)

Transportation (short-distance, long-distance)

Legal Aid or Advocacy

Counseling/Mental Health Support

Financial or Material Assistance

Skills Training (e.g., digital security, safety planning)

Other (please specify)

Are you willing to adhere to our strict privacy and confidentiality policies? *

Yes

No

Are you familiar with using secure communication apps (e.g., Signal, Telegram)? *

Yes

No

Are you comfortable with handling confidential information? *

Yes

No

Would you need mental health resources to participate in this network? *

Yes

No

Are you able to access a secure computer or mobile device for communication? *

Yes

No

Consent to Background Check (if applicable) *

Yes

No

Agreement to the Code of Conduct: *

Read and acknowledge the organization’s code of conduct, including anti-discrimination, privacy, and emergency protocols.

I have read and agree to the Code of Conduct.

Final Step: Review and Submit *

By submitting this application, I understand and agree to the following: ● I am committed to upholding the values and mission of The New Underground in providing secure, supportive, and confidential assistance to LGBTQIA+ individuals, especially trans and BIPOC individuals, who may be facing hostility or threats. ● I agree to abide by the network's confidentiality standards, understanding that any information shared with me in this capacity is sensitive and must be protected. I will not disclose any personal information, locations, or network details outside of authorized communications within The New Underground. ● I commit to acting with respect, empathy, and a genuine willingness to assist those in need. I understand that my role is part of a larger mission to provide safety, solidarity, and support to those facing challenging circumstances. ● I acknowledge that any breach of these standards may result in removal from the network to preserve the integrity and safety of The New Underground.

By checking this box, I confirm my understanding and commitment to these principles.

Acknowledgment: *

I understand and agree to uphold the confidentiality standards listed above while participating in The New Underground.