Bay Area Solidarity Summer Application

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Please fill out the following application to the best of your abilities. The Bay Area Solidarity Summer (BASS) is open to 15 - 21 yr olds. You must be able to attend all five days of BASS Camp from August 2nd to August 6th.

The application deadline is May 25th, midnight. Applications received after the deadline will be reviewed as space permits.

The Basics

Name *

E-mail Address *

Mailing Address *

City *

State *

Zip Code *

Phone Number (home or cell) *

Date of Birth (mm/dd/yyyy) *

Gender *

* information used for rooming purpose only

If you are currently in school, what is the name of your school?

If you are currently in school, what is your grade level? *

Do you have food restrictions? *

(...such as are you vegetarian, halal, jain, vegan? Do you have food allergies? )

Do you have religious and prayer needs that we need to accomodate? *

If so, please specify.

Do you have accessibility needs we need to accomodate to? *

(...such as wheelchair accessible space?) If so, please specify.

South Asian Solidarity

BASS is a camp focused on empowering youth of South Asian heritage. The following questions will help us in making sure to recruit inclusively and diversely. Your answers will be confidential.

Did you grow up speaking another language at home? If so, which one?

What is your religion?

Can be heritage or practiced religion. List all applicable.

What is your South Asian heritage?

From what South Asian country (or countries) are your ancestors from? List all applicable.

Do you identify as any of the following?

Check all applicable.

South Asian

Indian

American

Indian-American

South Asian American

Desi

Brown

Black

White

Asian

Asian American

Other:

Is there anything else you would like to say about yourself that we may have missed?

Essays

Please do not exceed the maximum 200 word count per answer. Take note that the content of your answer is more important to us than grammar and spelling.

Why would you like to participate in Bay Area Solidarity Summer? *

What issues are you passionate about? *

What arts, political or community activities are you involved in, if any? *

If someone gave you a $1 million with the only restriction being that you have to use the money to make the world a better place, how would you use it? *

In Conclusion

What would you like to get out of the BASS Camp experience? *

If selected to be a part of BASS Camp, I will be fully committed to the camp, which means I will arrive on time, participate in discussions and help create a sense of community. *

Yes

How did you hear about BASS? *

If you are under 18 yrs old, we will need you to get parental permission to attend BASS Camp. *

Permission slips will be sent out after BASS participants are selected.

I am 18 years old or older.

I am under 18 years old and will be able to get my parent/guardian permission if selected.

I understand that if accepted into BASS Camp, I will be asked to pay a $100 - $300 sliding scale registration fee. *

(Scholarships are available for those unable to cover the cost of registration. Please note below.)

I will be able to pay the $300 registration fee.

I will be able to pay $200 of the registration fee.

I will be able to pay $100 of the registration fee.

I will need to apply for a scholarship to cover the cost of the registration fee.

Other:

Thank you for completing our application!

If you are an applicant interested in applying, or the parent or legal guardian of an applicant, and have further questions, please do not hesitate to drop us an e-mail at BASSoutreach [@] gmail.com and visit www.summersolidarity.org to get the latest information.

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