Pride Resource Center Leadership Retreat Facilitator Application
Please fill out this application if you are interested in being a Facilitator for the 2017 Pride Resource Center Leadership Retreat. The retreat will be held at CSU Mountain Campus.

The retreat will take place on September 22 to September 24, 2017. You will be expected to meet 2 - 3 times before the retreat to prepare and meet Facilitation partners. The first meeting will be approximately one month before the retreat, the second will be one week before the retreat, and the third will be the Thursday before we leave. You will receive more information about these meetings when they get closer.

Please fill out this application completely. The demographic information collected will help us carefully compile diverse groups of people, but will not affect whether you are chosen to be a facilitator.

Please email Emily Ambrose at emily.ambrose@colostate.edu with any questions.

Thanks!

What is your full name?
Your answer
What are your pronouns?
Your answer
What is your affiliation to Colorado State University? Check all that apply.
What is your email?
Your answer
What is your phone number?
Your answer
Have you attended the retreat before? If so, when?
Your answer
What is your gender?
Your answer
What is your sexual orientation?
Your answer
What is your race/ethnicity?
Your answer
Why do you want to be a facilitator on this retreat?
Your answer
What facilitation experience do you have?
While facilitation experience is not required, it is helpful to know what experience you have when pairing facilitators.
Your answer
Share what intersecting identities means to you.
Your answer
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