Hands Off Appalachia Fall Action Camp Application
Thank you for your interest in attending the Hands Off Appalachia Fall Action Camp November 19-25 in Connecticut. We are so excited to be in Connecticut with you soon! We have limited space for the action camp and are hoping to accomplish a lot during the week, so we ask that all participants stay for the entire time. We will be in touch soon to let you know if your application to attend is accepted and provide more detailed information!
First Name *
Your answer
Last Name *
Your answer
Email address *
Your answer
Contact phone number *
Your answer
Where are you coming from?
City, State
Your answer
Reference 1 Name *
Please provide two people that we can contact to provide a reference
Your answer
Reference 1 Phone Number *
Your answer
Reference 2 Name *
Please provide two people that we can contact to provide a reference
Your answer
Reference 2 Phone Number *
Your answer
Which trainings are you most interested in? *
Select one or two
Required
How much can you contribute to the action camp?
note: we will not turn anybody away from lack of funds!
Why do you want to attend the Hands Off Appalachia Action Camp? *
Your answer
What skills and insights can you bring to the camp? *
Your answer
What do you hope to get out of the camp? *
Your answer
What is your background with social and/or environmental justice work? *
Your answer
Any other relevant information you would like to share?
Your answer
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