2013 Retreat for Social Justice Application

Instructions: Please provide responses to all the information requested below. It will be used to select participants and to insure that we have representation from diverse communities. The information you provide will be kept confidential and will only be seen by the Retreat Selection Committee.

Completed applications must be submitted by 5 pm on Friday, October 4, 2013. Once applications are reviewed and the participants have been selected, you will be contacted via email regarding your status.

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