Words to Actions Application - Deadline: 5/20/18


When: Tuesdays & Thursdays starting Tuesday, June 19th and ending Tuesday, August 7th in 2018 (total of 15 days)

Time: 10:00 am - 3:00 pm

Where: 910 Galapago St. Denver, CO 80204

Snacks, Lunch, & Bus-fare will be provided.

**Participants who do not miss more than two sessions will receive the stipend of $150.

For more information: 720-460-9203; info@cafecultura.org

Name *
Your answer
Age *
Your answer
School *
Your answer
Phone # *
Your answer
Email *
Your answer
Address *
Your answer
Emergency Contact Name *
Your answer
Emergency Phone # *
Your answer
Allergies and/or Medication
Your answer
Need an RTD pass? *
Race/Ethnicity (you may choose more than one) *
Required
*Tribe/Nation
Your answer
Where is your family from? What event in your family's history shapes who you are today? *
Your answer
What person do you look up to and why?: *
Your answer
In what ways have you been involved in the community (volunteering, activities, organizations, etc)? How do you want impact your community in the future? *
Your answer
Why do you want to participate? What do you want to get out of the program? *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Cafe Cultura. Report Abuse - Terms of Service - Additional Terms