Models of Pride - Leadership Institute

The LifeWorks Community Action Network Program is strongly invested in the development of, and supporting, LGBTQ youth and allies in high schools and colleges. Participants are typically schools we have worked with. There will be an opportunity for two additional schools to participate in the leadership institute. Please complete the form below to be considered. Selected LGBTQ / GSA clubs will be notified to attend in JANUARY 2019.
School Name *
Your answer
City (Location of School) *
Your answer
Full Name (person filling this form out) *
Your answer
Your Title *
Your answer
Email *
Your answer
Telephone Number *
Your answer
Do you have an active LGBTQ / GSA* club on campus?*Gay Straight Alliance *
Your answer
What are your goals at the Models of Pride Leadership Institute? What do you hope to accomplish as a participant? *
Your answer
What does it mean for you to be a part of an LGBTQ or GSA program in your school? *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service