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 *
Last Name *
Email address *
Contact phone number *
Where are you coming from?
City, State
Reference 1 Name *
Please provide two people that we can contact to provide a reference
Reference 1 Phone Number *
Reference 2 Name *
Please provide two people that we can contact to provide a reference
Reference 2 Phone Number *
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!
Clear selection
Why do you want to attend the Hands Off Appalachia Action Camp? *
What skills and insights can you bring to the camp? *
What do you hope to get out of the camp? *
What is your background with social and/or environmental justice work? *
Any other relevant information you would like to share?
Submit
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