Queer Leadership Retreat Participant Application 2017
Please join us for the 9th annual Queer Leadership Retreat, taking place at Community of the Great Commission in the Sierra Foothills the weekend of November 17-19 (Friday - Sunday), 2017!

Queer Leadership Retreat is an annual weekend retreat hosted by the Lesbian Gay Bisexual Transgender Queer Intersex Asexual + Resource Center. The purpose of the retreat is to foster identity and community for UC Davis scholars, particularly first year and first year transfers. We aim to center and support queer and trans people of color in our work.

Some of the objectives of the retreat include:

-Empowering LGBTQIA+ scholars as both individuals and community leaders
-Providing safe spaces to build community, gain support, self reflect, and self care
-Educating ourselves and each other while raising awareness about issues w/in the community(ies)
-Developing strategies and enhancing skills for consciousness-raising by exploring our intersecting identities
-Discussing our needs, setting community goals, and taking the first step to putting them into action

The retreat will include a mixture of workshops, recreational and team-building activities, and a source of academic resources and peer support. The retreat will be a unique opportunity for student-scholars to network, learn, and share their knowledge and experiences. We hope that you will apply to enjoy this weekend with us!

Our theme this year is “Liberation Through Love: Reimagining Relationships and Community”, with the intent of dismantling all forms of oppression by building healthy loving relationships with others and then by expanding on those relationships to form community. Bell hooks writes, "The moment we choose to love we begin to move against domination, against oppression. The moment we choose to love we begin to move towards freedom, to act in ways that liberate ourselves and others. That action is the testimony of love as the practice of freedom.” We want to share our skills and knowledge in building self-preserving and sustainable relationships so that folks can grow and thrive to come together and fight systems of oppression.

APPLICATION DUE BY: Friday, 27 October 2017 at 11:59pm.

You will hear back from us if you are selected to attend the retreat by Friday, 3 November 2017.

If you have any issues or questions please contact us at: maxchan@ucdavis.edu

Email address *
Student ID *
Your answer
Name that you want to be called *
Your answer
Pronouns *
(She/Her, They/Them, Ze/Zir, He/Him, etc. if none write n/a). For more information see http://lgbtqia.ucdavis.edu/educated/pronouns.html
Your answer
Phone Number (###) - ### - #### *
Your answer
UC Davis Email *
Your answer
Have you attended QLR before? *
If yes, would you be open to being a "Home group Leader". This would entail leading your home group through debrief discussions, leading icebreakers, and connecting your homegroup members to one another.
Hometown (optional)
Your answer
Gender (optional)
This helps us with lodging assignments
Your answer
Race /Ethnicity(optional)
Your answer
Sexual Orientation (optional)
Your answer
Housing Preference *
If you choose "Gender Specific" please state your preference:
ex. "I would like to room with other genderqueer folks"
Your answer
Academic Year *
Transfer Student? *
If Yes, Quarter/Year Transferred?
Your answer
Your answer
Your answer
Hoodie Size *
Meal Preference *
Other Dietary Restrictions (ex. no eggs, no diary, no red meat) *
If none, please put n/a
Your answer
Any serious food allergies? (ex. nuts, lactose, honey) *
If none, please put n/a
Your answer
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