Girls Garage: 2019 Young Women's Design and Building Institute Application
This week-long institute introduces girls ages 13-17 to multiple design and building techniques, skills, and media. From graphic design and screen printing to carpentry, welding, and architectural drafting, girls will explore the possibilities of building in their own lives, learning, and futures.

Dates:
Cohort 1: June 17-21, 2019
Cohort 2: June 24-28, 2019
** Please note your availability/preference in the application below. We will do our best to accommodate, however we also try to create well-rounded and diverse cohorts based on individual girls.

This program is by application only, at no cost to participants if accepted, and limited to 2 cohorts of 12 girls. All programming will take place at Girls Garage, 1380 10th Street, Berkeley, CA 94710. We are dedicated to building a diverse cohort of teens. We will prioritize accepting local Bay Area teens who are new to Girls Garage and who have limited access to such programs. For out-of-area applicants, please note that we are unable able to provide financial assistance for travel or lodging.

Applications are due March 1, 2019, applicants will be notified by March 15, and registration materials must be received by April 1.

Full information available at www.girlsgarage.org

For application questions, please email Emily Pilloton: emily@girlsgarage.org

Questions for the applicant:
Applicant first name *
Your answer
Applicant last name: *
Your answer
Applicant date of birth *
(Must be 13-17 years old by the first day of the program)
MM
/
DD
/
YYYY
Applicant email address
(If you have one. If not, please leave blank)
Your answer
Applicant phone number
(If you have one. If not, please leave blank)
Your answer
Applicant street address *
Your answer
City, State, Zip Code *
Your answer
Please select the week(s) in which you are available. Please select both if you are able to attend either session. *
Required
Current school attending (2018–19): *
Your answer
Current grade level (2018-2019) *
How did you/your family hear about the Young Women's Design and Building Institute? *
Your answer
Tell us a little about yourself. What makes you weird and wonderful? What are you most proud of? *
Your answer
Why are you interested in the Design and Building Institute? What do you hope to get out of this experience? *
Your answer
What is your experience making and building? How do you see this work as part of your future? *
Your answer
What are the issues in your world that get you fired up, and why? *
Your answer
Tell us a story about a time you stood up for something or someone important to you. *
Your answer
If you could write a letter to anyone (alive, dead, famous or not), who would it be and what would you say?
Your answer
What other activities or organizations are you involved with outside of school?
Your answer
Race/Ethnicity (optional)
Please select as many as apply:
Languages spoken at home
Your answer
Questions for the Primary Parent / Guardian
Parent first name: *
Your answer
Parent last name: *
Your answer
Parent email address: *
Your answer
Parent's best contact phone number: *
Your answer
Street Address (if different from Applicant info above)
Your answer
City, State, Zip Code (if different from Applicant info above)
Your answer
What is your occupation?
Your answer
Why are you excited for your daughter to attend the Young Women's Design and Building Institute?
Your answer
Highest level of parent(s) education
What is your yearly household income?
Submit
Never submit passwords through Google Forms.
This form was created inside of Project H Design. Report Abuse - Terms of Service