Sign up to begin receiving information from Sex Ed 101.
*
indicates required
Name:
Email:
Comment:
Email Address
*
First Name
*
Last Name
*
Please indicate your class year.
*
First Year
Sophomore
Junior
Senior
Take 5 / Fifth Year
Graduate Student
What school are you associated with?
*
Arts, Sciences, & Engineering
Eastman School of Music
School of Medicine & Dentistry
School of Nursing
Eastman Institute of Oral Health
Simon Business School
Warner Graduate School of Education
Gender (check all that apply)
Woman
Man
Nonbinary (e.g. genderqueer, gender non-conforming)
Transgender
A gender not listed here
Sexual Orientation (check all that apply)
Asexual
Bisexual
Gay or Lesbian
Pansexual
Straight/Heterosexual
Queer
A sexual orientation not listed
Race/ethnicity (check all that apply)
Asian or Pacific Islander
Black or African American
Hispanic or Latino
Native American or Alaskan Native
White or Caucasian
A race/ethnicity not listed