Participate in #PGHYouthVision Campaign
This is a form for youth organizations or individual youth to fill out to participate in the town hall event on 4/27/17. The deadline to fill out this form to participate has been extended through the end of the month!
Email address
Organization Name
Your answer
Will your organization need a stipend to help transport youth to the event?
I would like to participate in #PGHYouthVision as a(n):
The overarching themes or categories of the project is:
I would like to share my project and vision through (check all that apply)
I expect to bring X number of youth. (Individuals can say 1)
Your answer
The participating youth ages are this range: (X - X)
Your answer
The medium (or materials used) for the project and presentation are:
Your answer
Do you have any accessibility needs that we can help accommodate?
Your answer
Anything else we should know or that you would like to share with us?
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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