GIRLFLY SUMMER ART & ACTIVIST PROGRAM
Full Name (required):
Birth Date (required) (ex: 01/01/2021):
Street Address (required):
Zip Code (required):
Your Best Phone (required):
Your Email (required):
Parent/Guardian Name (required):
His / Her / Their Best Phone (required):
His / Her / Their Email (required):
School in Fall (required):
Grade in Fall (required):
What neighborhood do you live in? (required):
Family Income Level:
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
GIRLFLY 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, in three or four sentences each.
1. What is your experience in dance or performance?
2. What do you hope to gain from GIRLFLY’s Program?
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?