Safe Zones are areas designated by the "Safe Zone" symbol.  This symbol, a three interlocking triangle (pink, black, blue) design with "LGBT Safe Zone" surrounding it, [see example] can be seen on doors and windows including residence hall rooms, faculty, staff, and campus offices, and area businesses.

By participating in the Safe Zone Program, I pledge that my Safe Zone is a place where lesbians, gays, bisexuals, and allies can:

• feel comfortable and safe in a confidential environment.
• express any issues and concerns in an atmosphere of acceptance and support.
• access informational and educational resources including: organizations, phone numbers, web sites, and books.

Name: __________________________________________

Organization/Department/Student: _______________________________________________

Address of your Safe Zone: _____________________________________________________

Classification (please circle): Under Grad | Grad | Faculty | Staff | Other | 

Phone: ______________ Email: _____________________

Comments: __________________________________________________________________

____________________________________________________________________________

Print this form from your browser and mail it to:
Safe Zone
c/o PRIDE
Box 29 Room 201
MLK, Jr. University Union
Charleston, IL 61920