Chico Peace & Justice Center Leadership Activist Program
Hello future community leader,
Thank you for your interest in participating in Chico Peace & Justice Center's (CPJC) exciting Leadership Activist Program (LAP), which will kick off Monday, July 30, 2018 and will end August 4, 2018 within the cities of Chico and Oroville. The program was developed to train high school students like you to recognize and address inequities within their community using social justice knowledge and nonviolent communication skills. Program participants will assist with carrying out local institutional changes to develop more fair policies within their local schools and government. Please fill out our application, and we will respond back to you after July 9th.
Email address *
What is your name? *
Your answer
What grade are you in? *
What high school do you attend?
Your answer
What race or ethnicity best describes you? *
Do you identify as LGBTQIA? *
How did you hear about the Leadership Activism Program? *
Your answer
Who is your role model for leadership? *
Your answer
Why is this person important to you?
Your answer
What does community mean to you? *
Your answer
Can you identify areas where your community could improve? *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Chico Peace & Justice Center.