2020 CPA Youth Programs Interest Form
To register for our programs, please fill out the following form. Our staff will follow up with you within a week. If you aren’t sure how to answer a question you can leave it blank or write “I don’t know.”

If you have any questions, please email us at connie@cpasf.org. Our office is located at 1042 Grant Ave, San Francisco, CA, 94133. Due to COVID-19, it is currently closed

CPA’s School Year Programs

Note: people can choose to participate in one, two, or all three programs because dates and times do not overlap!

**Youth MOJO's first day will be on September 18 from 4-6pm online. Youth MOJO runs every Friday 4-6pm, with additional Civic Engagement Outreach on Wednesdays from 4-6pm. The other programs will be scheduled around your availability**

**We will be offering stipends to participants this school year! Stipend amount will be announced soon.**

Youth Movement of Justice and Organizing (Youth MOJO):
Youth MOJO develops the leadership of Chinese high school youth in San Francisco, with a focus on social issues such as healthcare, education, immigration, and workers’ rights. Youth leaders develop leadership, communication, advocacy and organizing skills. Our program aims to empower youth to make a positive change in their community! Youth MOJO members are required to attend workshops every Friday from 4-6pm, with additional Civic Engagement Days on Wednesdays from 4-6pm.

Gender and Sexuality Diversities (GSD):
Gender Sexuality Diversities (GSD) Program was created in 2013 to meet the needs of Asian American youth members for a safe space to explore gender and sexuality issues. GSD supports queer, questioning and ally youth in understanding power, privilege, and oppression more deeply, as well as their own experiences around gender identity and sexual orientation. GSD is open to all youth, and is centered in supporting queer and questioning youth. Schedule TBD depending on youth availability.

Young Men's Circle (Dinner Tabros)
The young men's circle is a space for cisgender men to talk about Asian American masculinity, toxic masculinity, and how to use their privilege to address sexism and the patriarchy in spaces they are in. Schedule TBD
Basics
Which Youth Program are you interested in?
Check all that apply!
Are you a current MOJO Member?
First Name *
Last Name *
Name you prefer we use
Date of Birth *
MM
/
DD
/
YYYY
Birth City *
Email *
Cell Phone *
Home Phone *
Address *
City: *
Zip Code: *
School *
Grade (for the 2020-2021 school year) *
What is the best way to contact you? *
FB, phone (call or text), other method of contact
What would you say best describes your gender identity? *
Required
What would you say best describes your sexual identity? *
Required
What is your race? *
If you selected Asian, what is your ethnicity? *
Do you identify as an immigrant?
Clear selection
If Yes, what year did you immigrate?
Do you come from an immigrant family?
Parents are immigrants, etc.
Clear selection
What languages do you speak and how fluent are you in the language? *
(example: Cantonese, very fluent; Mandarin, somewhat; Spanish basics, etc)
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