2019 FYRE Media Justice Camp Application
Please fill out the following application for the 2019 FYRE Media Justice Camp "Read to FILTH"!
Email address *
Legal Name (First, Last) *
Your answer
Preferred Name (First, Last) *
Your answer
Gender Pronouns
Your answer
Phone Number *
Your answer
Age *
Your answer
What is your race and/or ethnicity? (write all) *
Your answer
How do you identify your gender? *
Your answer
How do you identify your sexuality? *
Your answer
Are you a student? *
What is the best way to contact you? *
When is the best time to contact you? *
Interviews will be conducted over Google hangout. If this will be a barrier for you, please note how best to reach you, e.g., Skype, conference call. *
Your answer
Please tell us why you are interested in attending the FYRE Media Justice Camp. *
Your answer
Please describe the organizing skills you can contribute to the camp and the skills you want to develop. Please prioritize any experience with Reproductive Justice campaigns, artivism, civic engagement, media justice, and/or media creation. *
Your answer
In your opinion, what is the most pressing Reproductive Justice issue in your community, school, and/or nationally? How would you address it? *
Your answer
Do you volunteer, intern, or are you a member of any social justice organization(s) in your community? Please describe your work including length or involvement. *
Your answer
Are you a creative? What mediums do you use to create (creative writing, journalism, photography, etc.)? *
Your answer
Are you currently living in the South? *
How long have you lived in the South? *
Your answer
How would you describe the area you live in? *
Your answer
What are your accessibility/mobility needs? Do you have any dietary restrictions and/or allergies? *
Your answer
SPARK will use images from the camp for promotional purposes. Do you consent to the use of your image? (You will receive a print copy of our Media Consent Form during the camp). *
If you accept, you must be able to attend the full FYRE Media Justice Camp from July 11th to July 14th. Would this be a problem for you? *
Would you like to be added to the SPARK e-newsletter? *
I understand that if I am chosen to participate in the 2019 FYRE Camp I am also committing to be a part of SPARK’s Health Advocacy Cohort following completion of camp. SPARK’s Health Advocacy Cohort supports participants in implementing the skills acquired at FYRE camp. This opportunity focuses on increasing outreach and advocacy efforts around health related issues faced by QTPOC communities. SPARK offers continued training in writing, direct action, hosting events and other skills that align with participants’ interests. SPARK also provides opportunities and support for members to connect with regional allied organizations. Cohort members will be expected to engage in webinars, Twitter storms, direct actions, conference calls and continuous digital communication. At this time, no compensation is offered for participation, however there may be reimbursement offered for expenses incurred in travel. This opportunity is exclusively for Queer and Transpersons of color, and Black Womxn youth*. *
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A copy of your responses will be emailed to the address you provided.
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