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Queer Academy Participant 2018 Application
Queer Academy is a summer program designed for queer and ally youth leaders (age 13—19) in Connecticut. This program will provide a range of activities designed to empower youth as community leaders and social justice activists. Over the course of six weeks, participants will explore the intersections of their identities, histories, and social movements. Participants will meet with local community leaders and organizations, attend and create workshops, watch films, create art projects, attend in-state field trips, and more! All ‘campers’ are required to produce a final project by the end of the program. Participants will utilize the resources discovered during this program to create a research project, presentation, and on-stage performance on a topic of their interest. Plenty of project support will be provided during the program!

For details and more information, please contact: 860.232.0050 x 306 or email melissa@ourtruecolors.org

What is the name we should call you?
Your answer
What is your full LEGAL name?
Your answer
What name should we use in calls to your guardian?
Your answer
What pronoun should we use for you in our space?
Your answer
What pronoun should we use for you in calls to your guardian?
Your answer
What is your date of birth (including year)?
Your answer
What is YOUR personal phone number? (write n/a if you don't have a cell phone)
Your answer
What is your mailing address?
Your answer
What is your email address?
Your answer
What is your gender identity? (this won't impact your application, we're just curious about the demographics of who applies to the program)
Your answer
What is your sexual orientation? (this won't impact your application, we're just curious about the demographics of who applies to the program)
Your answer
What is your race/ethnicity? (this won't impact your application, we're just curious about the demographics of who applies to the program)
Your answer
Is there any other demographic information you'd like us to know? (this won't impact your application, we're just curious about the demographics of who applies to the program)
Your answer
What is the name of your parent or guardian? This is usually the person you live with, who can make decisions on your behalf. Feel free to list more than one!
Your answer
What phone numbers can we use to reach your parent or guardian? Please specify which are work, home, cell, etc.
Your answer
Please provide at least one email we can use to reach your parent(s) or guardian(s).
Your answer
(Paragraph Response 1 of 7: please answer in complete sentences!) Why do you want to participate in Queer Academy?
Your answer
(Paragraph Response 2 of 7: please answer in complete sentences!) What do you hope to gain personally from Queer Academy?
Your answer
(Paragraph Response 3 of 7: please answer in complete sentences!) What do you see as your personal strengths?
Your answer
(Paragraph Response 4 of 7: please answer in complete sentences!) Participants are required to pick a topic related to queer identity and complete a research project that they will present during Presentation of Learning. What queer issues are you interested in researching? (you can change your mind later, this is to give us an idea!)
Your answer
(Paragraph Response 5 of 7: please answer in complete sentences!) Participants are required to perform onstage as part of Draguation. What kind of performance (dance, poetry, song, drag, music, other?) are you interested in doing? (you can change your mind later, this is to give us an idea!)
Your answer
(Paragraph Response 6 of 7: please answer in complete sentences!) Do you have any concerns about being a part of Queer Academy? What are they? (time commitment, being outed, acceptance, etc)
Your answer
(Paragraph Response 7 of 7: please answer in complete sentences!) Youth involved in Queer Academy will be responsible for their own transportation. How will you get to and from Queer Academy?
Your answer
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