Women's Center for Gender Justice Sign-In Form

Please fill in the form below and someone will be with you after you make your submission

CUNY ID   This is your 8 digit CUNYfirst EmpID

Reason for Visiting Please select a service or services you are here for

--Please Select--Advising & SupportBook ClubCareer & Life PlanningClub MeetingDomestic Violence AdvocacyFeminine Health ProductsLeadership, Networking & Mentoring ServicesLiterature/ Resource LibraryMental Health/ Stress Reduction SupportOn and off-campus referralsRespite Lounge/ Study AreaSexual Health ProductsOther

First Name

Last Name

Your E-Mail Address If you are a York College student enter your yorkmail email

Would you like to remain anonymous?  

--Please Select--YesNo

Anonymous Statement

I wish to remain anonymous and acknowledge that this may limit the College’s ability to provide adequate services.