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!
Will your organization need a stipend to help transport youth to the event?
I would like to participate in #PGHYouthVision as a(n):
Individual young person
The overarching themes or categories of the project is:
I am not exactly sure yet.
Immigration & Refugees
Labor & Jobs
Food Justice & Security
Homelessness & Affordable Housing
Policing & Incarceration
I would like to share my project and vision through (check all that apply)
Social Media and on web platforms using the hashtag #PGHYouthVision
Hosting a visual display at the event on 4/27/17 at the Kelly Strayhorn Theater (KST)
Participating in our collective youth survey here:
I expect to bring X number of youth. (Individuals can say 1)
The participating youth ages are this range: (X - X)
The medium (or materials used) for the project and presentation are:
Do you have any accessibility needs that we can help accommodate?
Anything else we should know or that you would like to share with us?
A copy of your responses will be emailed to the address you provided.
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of Bike Pittsburgh.
Terms of Service