2021-2022 Transform Participant Application

Yay, you're applying!! We are excited to meet you.

**This form does NOT allow you to save and return. We suggest writing your answers in a separate document so you can fill out this application form and submit it all at once.

For more information about the program, please visit: https://buildingbridgesshift.org/building-bridges-transform/. You can download the full application packet here: https://bit.ly/3vyVyfJ and check out the FAQs here: https://bit.ly/3rWtznZ.

Please reach out for support! You can call Raegan at 303-691-2393 ext 2 or email her at raegan@buildingbridgesshift.org.

Please complete all of the following application items, answering all questions completely.
□ PART 1: Applicant Information Form
□ PART 2: Short-Answer Questions
□ PART 3: Schedule Interview via Zoom with BB Alumni

APPLICATION DEADLINE: SATURDAY, May 15

When we receive your application, you should get a confirmation email with a copy of your responses. If you don't get an email after you submit, please contact Raegan at raegan@buildingbridgesshift.org or 303-691-2393 ext 2.

Email address *

Part 1: Applicant Information Form

Legal First and Last Name *

Name you prefer to be called *

Gender Identity *

Male

Female

Non-binary

Transmasculine

Transfeminine

Genderfluid

Gender Queer

Agender

Other:

Pronouns *

he/him/his

she/her/hers

they/them

ze/zir/zirs

xe/xem/xyr

per/per/pers

Other:

Date of Birth *

YYYY

Country of Birth *

School *

Current Grade *

9th

10th

11th

Language(s) spoken at home *

English

Spanish

French

Mandarin

Hindi

Japanese

Korean

Other:

Required

Optional Information

Race(s) you identify with:

Black/African American

Latinx/Hispanic

Asian/Asian American

Native Hawaiian or Pacific Islander

American Indian or Native Alaskan

White

Other:

Ethnicity(ies) you identify with:

Other identities that are important for you to share with us (ex: religion, sexual orientation, ability, socioeconomic class, etc.):

Applicant Contact Information

Preferred Phone Number *

Alternative Phone Number *

What is the best way to contact you? *

Phone

Text

Other:

Home Address *

Mailing Address (if different from home address)

Parent/Guardian Contact Information

Parent or Guardian First and Last Name *

Email Address *

Preferred Phone Number *

Alternative Phone Number *

What is the best way to contact your parent/guardian? *

Phone

Text

Other:

Language(s) spoken by your parent/guardian *

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