GIRLFLY Summer Arts & Activism Apprenticeship
Full Name (required):
Street Address (required):
Zip Code (required):
Your Best Phone (required):
Your Email (required):
Parent/Guardian Name (required):
His / Her Best Phone (required):
His / Her Email (required):
School in Fall (required):
Grade in Fall (required):
What neighborhood do you live in? (required):
Family Income Level:
How would you get to the program?
How did you hear about the Summer Arts Apprenticeship? (please check all that apply)
FriendTeacher / CounselorFacebookFormer ParticipantYouth OrganizationOther
If Youth Organization, which one?
If Other, please list
The Summer Arts Apprenticeship requires a full commitment of time and energy and a minimum of 80 hours. Can you commit to attending ALL the sessions?
Is there anything that would prevent you from attending?
PLEASE ANSWER ALL of the questions (three sentences per question recommended).
1. What is your experience in dance or performance?
2. What do you hope to gain from the Summer Arts & Activism Apprenticeship?
3. What type of activism or issue are you interested in (i.e. immigration, education, health, community need, etc.)? Why is this issue important to you?