C3 at KOP
Charleston Civil Rights and Civics (C3), in partnership with Kids on Point, is an immersive civil
rights experience for high school students completing their freshman year. Through a week long program, students will engage with our civil rights history, democratic process, enabling them to better understand each other and become life-long active citizens.
Sign in to Google to save your progress. Learn more
Email *
Student Name 
Student Age
Student Email Address 
Student Phone Number 
Parent/Guardian Name 
Parent/Guardian Phone Number 
Student Grade (Current Year) 
Clear selection
Home Address 
Name of High School 
Race/Ethnicity 
Clear selection
Gender
Clear selection
Parent/Guardian Household Income 
Clear selection

C3 will explore the known and unknown leaders of the civil rights movement. Which of the following people are you familiar with? (Select all that apply)

How important do you think it is to understand our history?
Very Important
Not Important
Clear selection
One of the goals of C3 is to build bridges between students in our community. Do you think it is important to know people from different areas with different backgrounds and experiences?
Clear selection
Do you think voting is important?
Clear selection
What do you hope to get out of this program?
How did you hear about Charleston Civil Rights and Civics?
Clear selection
Kids On Point and Charleston Civil Rights and Civics (C3) does not illegally discriminate based on race, age, color, national or ethnic origin, disability, sex, pregnancy, childbirth or related medical conditions, religion, genetic information, or any other basis on which C3 is prohibited from discrimination under local, state, or federal law.Untitled Title
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kids On Point. Report Abuse