THE JUNGLE Youth Empowerment Workshop Application
Thank you for your interest in the youth engagement program around THE JUNGLE.
Student Matinee and Talkback: Thurs, Jan 17 at 2 PM
Youth Empowerment Day Workshop: Thurs, Jan 17 from 10 AM - 1 PM. Lunch will be served.
Email address *
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
School Name and DBN *
Your answer
Title 1 Eligibility (%) *
Your answer
How many student tickets are you requesting (Maximum: 8)? *
How many teacher/chaperone tickets are you requesting? (Maximum: 2) *
Does anyone from your school need ADA accessible seating? If so, please note how many. *
Your answer
Please share why you'd like your students to participate in this program. *
Your answer
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