Change-Maker Initiative Application
in honor of cultivating diversity, promoting inclusivity and creating a cohesive atmosphere of
convergence & networking for Social/Environmental Impact Leaders.
Legal Name
Your answer
Do you have a preferred name that you be referenced by?
Your answer
What are your pronouns?
Your answer
Email address
Your answer
What is a good contact number to reach you?
Your answer
What interests you about attending CoLab Campout?
Your answer
list below any links to associated works or projects that you are involved with. You are invited to share a short description about yourself and/or your work.
Your answer
What is your superpower?
Your answer
What is your Instagram Username and Facebook Profile link?
Your answer
What makes you most proud about yourself, at this time in your life?
Your answer
Have you ever been to an experience like Colab Campout before? If so, what experience was it, and what did you like about it?
Your answer
Would you say that you live an environmentally friendly or regenerative lifestyle? If so, how? If not, what do you want to experience or learn about the most?
Your answer
Why do you feel you should receive the partial scholarship? ( we invite you to tell us about yourself, your goals, visions, dreams, and passions )
Your answer
What is one thing you hope to take out of the Colab experience, and back into your community?
Your answer
Have you ever attended Colab Campout before? Were you an attendee, support staff, or collaborator?
Your answer
What is your ethnic identity?
Your answer
what is something you would love to experience at Colab?
Your answer
what is your age?
Your answer
What Scholarship qualification(s) apply to you? Select both, if both apply.
Which Marginalized demographic(s) are you identified as belonging to?
Your answer
What was your experience of this survey, and our application process? Constructive feedback is welcome and invited. We value our fellow collaborators and want to cultivate an atmosphere that is supportive and expansive.
Your answer
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