2021 Out-Spoken Application Form
OUTspoken is designed to be a first step on a pathway to becoming a community leader by learning about advocacy, community involvement, and cultural awareness. The program is also designed to give youth the opportunity to learn about their different identities and how that knowledge can impact their community. Youth will join us as a group of peers exploring Gender, Sexuality, Identity, our Environment, and how those all influence each other.

The program is FREE of charge for folks ages 13 - 24 and those who complete the full 9 weeks will receive a monetary stipend in the form of Gift Cards.

Fill out this form to apply for this Outspoken Session.

1) This Outspoken session will be held every Monday from 3:30 - 4:30pm through Zoom starting July 12th, 2021. This session is 9 weeks long and a Zoom link will be emailed to you after being approved into the program.

2) Application deadline is July 1st!! Late applications accepted, but will be waitlisted. We will also be on vacation from July 3- July 11, so late applications may not be able to join the first session on the 12th.

3) Once selected, to reserve your space in the program, you must confirm your RSVP by replying to our initial email.

If you have questions contact Jesus Holguin at
Jesus@youthprideri.org

For more information visit our website:
http://youthprideri.org/programs-and-services/advocacy-leadership-development/ 
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Full Name *
Pronouns *
School *
Current Grade Level *
[ex. 10th]
Date of Birth *
MM
/
DD
/
YYYY
Contact Information:
Email Address: *
Cell Phone:
Home Phone:
Facebook:
profile name / link, if you use facebook
Home Address *
[include house number, street name, apartment number, city, state, zip]
What's a good way to reach you? *
[check all that apply]
Required
What is your ethnicity/ cultural heritage? *
Check all that apply.
Required
How did you hear about Out-Spoken? *
optional: if someone recommended you apply, write their name next to "Other"
Required
Did you attended YPI or a YPI Event previously? *
(If yes, what/when?)
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