2021 Zoomy Queer Jam Application
* If you are alumni of the Queer Jam 2015, 2017 or 2018 and want to come and Jam again, then please contact us at <lgbtqjam@gmail.com> for a special alumni application.

Due to the small and personal nature of the event, this questionnaire is longer and more in-depth than most, because we want to get to know you. The people in the room are the focus of the Jam, and sharing our stories, experiences, and ideas through different formats is how we engage and learn together. The following series of questions is meant to be a taste of this principle.

Please share as much as you feel comfortable sharing. There is no min/max length for responses; we only ask you to share what you feel is 'enough'. Don't worry about spelling or grammar or eloquent articulation. We just want to get a sense of who you are. We will follow up with more questions or a phone call if we need more information.

Also, please note that all of your answers, including your name and basic info, will be kept in full confidentiality.* Only the leadership team will have access to your application. The more the team learns about you, the more informed their decision about selection can be.

Participant selection will be based on multiple factors, including prioritizing the inclusion and representation of a diverse participant body. Space is limited. If you do not get selected immediately, you may be placed on a wait list if space becomes available.

* Please note that if you are accepted, your name and bio will be shared with the other participants of your Jam just prior to the event. Following the Jam, we will put this information up on our website so that you can participate in the alumni community, unless you request otherwise.


Sign in to Google to save your progress. Learn more
Full name *
Name you prefer to be called (if different)
Pronouns *
Email
Phone number *
Address *
Organizational affiliation (if applicable)
Website (if applicable)
Birthday *
MM
/
DD
/
YYYY
How did you hear about the Jam? Please list sources by name.
What access needs would be important for us to accommodate for your participation?
How do you identify? (gender identity, race/ethnic background, sexual orientation, class, anything else that makes you who you are) We ask because we value the opportunity to co-create safer space, and want to know how to best meet participant needs.
What is your personal story around how your LGBTQ* identity connects to your place in the world? (Some optional prompts can include: how do your identities intersect with your queerness, your relationship to queer communities, your vision of the future of our culture in relation to queers, etc. These prompts are only optional; we are interested in how you tell your own story.)
What burning questions are you holding as an LGBTQ* person in the world right now?
Why do you want to participate in the Queer Jam (as opposed to a conference, a workshop, a meditation retreat, etc.)? What are you hoping to receive? What do you want to give? How do you feel the Jam will be valuable for you at this point in your life/work journey?:
Do you have any doubts, fears or concerns about attending the Jam? Is there anything else you’d like to tell us?
Please give us a mini-bio (a paragraph version of your story) written in the third person (for example, using “she”, “they”, or “ze” instead of “I”). Talk yourself up! This is the bio that will be shared with other participants of this Jam, and will be used for the YES! Website. (You can always modify it later.) :
Cost of attending
Tuition for the LGBTQ Jam is offered at a sliding scale of $50-$350 per participant, to support the costs of organizing and facilitation. We never want money to be a barrier in participating in a Jam, so we will do everything we can to make it work for you to attend.
 Partial scholarships are available. Additional donations above the event price are welcome and help us provide scholarships to support the broad spectrum of participation on which this event thrives (they are also tax-deductible). We can also work with you to create a monthly payment plan.
How much are you (or your organization/school/institution) able to contribute to this experience?
Thank you for applying to the Queer Jam! We'll be in touch as soon as we can.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms