Join the Society

We’re so glad you’re here. The Medusa Society is a private community created to provide a safe, supportive, and empowering space for survivors and allies of sexual assault. This application form helps us ensure that our community remains a trusted environment for those seeking connection, resources, and healing.

By filling out this form, you’re taking the first step towards becoming a valued member of our society. Your information will be kept confidential, and all applications are reviewed to maintain the safety and privacy of everyone involved. Once approved, you’ll receive an invitation to our members-only website and project Slack channel, where you can connect with others, access resources, and participate in meaningful discussions.

Thank you for your interest in joining us. We look forward to getting to know you better and supporting your journey.

Application Form

Full Name

(or preferred alias)

First Name

Last Name

Preferred Pronouns

(e.g. he/him, she/her, they/them, etc.)

Why are you interested in joining the Medusa Society?

What do you hope to benefit from this community

(e.g., support, resources, networking)

Consent and Privacy

I understanding that the Medusa Society is a safe space for SA survivors and that all information shared will be treated with confidentiality.

Terms and Conditions

I agree to respect the privacy of others within the Medusa Society Slack and the members-only site.

I understand that any discussions or resources shared here must not be disclosed outside of the community without consent..