SAGECollab Partner Interest & Commitment Form

SAGECollab is a network of diverse organizations who partner with SAGE under the common goal of supporting LGBTQ+ older people in their communities. Together, we are committed to exchange ideas, explore public policy changes, and inspire each other to better support and empower older LGBTQ+ people everywhere.

Please tell us a bit about yourself:

I acknowledge and understand that either our organization or SAGE can opt to discontinue this partnership at any time.

Aging Service Provider	Aging and Disability Resource Center
Senior Center	State Unit on Aging
Veterans Affairs	Advocacy and/or Policy Organization
Local – State Group/Org	National Group/Org
Area Agency on Aging	Religious Center
Senior Services Division (gov't)	Supportive Housing Services
LGBTQ+ Health Center	LGBTQ+ Community Group
LGBTQ+ Community Center/Organization	Other

Transgender, gender nonconforming, gender non-binary	Black/African American
Native/Indigenous/First Nations	Latino, Latinx, or Hispanic
HIV+	Rural
People Living with Disabilities	Not Listed, Please Specify
None at this time

Transgender, gender nonconforming, gender non-binary	Black/African American
Native/Indigenous/First Nations	Latino, Latinx, or Hispanic
HIV+	Rural
Not Listed, Please Specify	None at this time
People Living with Disabilities