2013 T-Camp
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T-Camp brings together trans / genderqueer / qender questioning students for an intercampus retreat January 11-13, 2013. Both undergraduates and graduates who are currently enrolled are welcome to apply.
Retreat planners will notify you in November if you have been selected to attend T-Camp, and you will need to complete a Liability Waiver and Emergency Contact Form.
A campus representative will work with you on ways to cover the $140 attendance fee that is due by December, including student government grants, departmental funds, etc. Payment will be due by early December from those selected to attend.
Your answers below are only shared with retreat planners. Your identity will be kept confidential.
Unfortunately, we cannot accept applications from students enrolled in online universities only.
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1
. Full Legal Name
Full Legal Name
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2
. Preferred Name (for name tag and contact sheet in retreat folder)
Preferred Name (for name tag and contact sheet in retreat folder)
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3
. The gender pronoun(s) you prefer people use for you, if any.
The gender pronoun(s) you prefer people use for you, if any.
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4
. Name of Your Campus. Please note that you may apply to attend even if your campus in not yet listed. Just choose "campus not listed above" and fill in your campus name.
Cabrillo College
Cal Poly Pomona
Cal Poly SLO
Chapman University
Claremont Graduate University
Claremont McKenna College
CSU Fullerton
CSU Los Angeles
CSU Northridge
CSU San Bernardino
CSU San Marcos
Cuyammaca College
Harvey Mudd College
Keck Graduate University
Los Angeles Trade Tech College
Loyola Marymount University
Mills College
Pitzer College
Pomona College
Sacramento City College
Saddleback College
Saint Mary's College of California
San Diego Community College
San Francisco State University
San Jose State University
Santa Ana Community College
Santa Barbara City College
Scripps College
UC Berkeley
UC Davis
UC Irvine
UC Los Angeles
UC Merced
UC Riverside
UC San Diego
UC Santa Barbara
UC Santa Cruz
University of Redlands
University of San Francisco
University of Southern California
Victor Valley College
Campus not listed above:
Name of Your Campus. Please note that you may apply to attend even if your campus in not yet listed. Just choose "campus not listed above" and fill in your campus name.
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5
. Did you attend T-Camp 2012?
Did you attend T-Camp 2012?
Yes
No
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6
. Student ID number
Student ID number
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7
. E-mail address
E-mail address
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8
. Do we have permission to share your email address with other Retreat participants?
Do we have permission to share your email address with other Retreat participants?
Yes
No
9
. Cell phone number
Cell phone number
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10
. Do we have your permission to share your cell phone number with other Retreat participants?
Do we have your permission to share your cell phone number with other Retreat participants?
Yes
No
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11
. Year in school
Year in school
1st
2nd
3rd
4th
5th+
Grad
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12
. Meal preference
Meal preference
Vegetarian
Vegan
Meat-eater
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13
. T-shirt size:
T-shirt size:
Small
Medium
Large
X-Large
XX-Large
XXX-Large
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14
. Are you able to provide $10 towards a T-Camp T-Shirt?
Are you able to provide $10 towards a T-Camp T-Shirt?
Yes
No
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15
. Do you have any food allergies? If yes, please explain what they are.
Do you have any food allergies? If yes, please explain what they are.
No
Yes - Please explain:
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16
. Do you have any ADA-related issues to report? If yes, please share needed accommodations for physical disabilities with this application.
Do you have any ADA-related issues to report? If yes, please share needed accommodations for physical disabilities with this application.
No
Yes - Please share:
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17
. What do you hope to learn, gain, or explore at T-Camp?
What do you hope to learn, gain, or explore at T-Camp?
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18
. What are some things you hope will happen at T-Camp?
What are some things you hope will happen at T-Camp?
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19
. What are some things you hope will NOT happen at T-Camp?
What are some things you hope will NOT happen at T-Camp?
20
. In order to create the best possible Retreat for all, we wish to gather more information about your identities.
Please write a paragraph describing how you identify yourself (i.e. how to you identify your race, sexual orientation, gender, religion, ability, etc.?). It’s okay to list that you don’t know an identity, or to not share a particular identity.
In order to create the best possible Retreat for all, we wish to gather more information about your identities. Please write a paragraph describing how you identify yourself (i.e. how to you identify your race, sexual orientation, gender, religion, ability, etc.?). It’s okay to list that you don’t know an identity, or to not share a particular identity.
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21
. T-Camp Ground Rules
I will maintain confidentiality. I will not discuss who participated in the event, nor will I share details of what transpired in any way that could affect the privacy of the group or individuals in the group.
I will be an active participant. I will be on-time to all T-Camp activities. I will turn off my cell phone during activities. I will be "all in."
I will give a spirit of support. I will support others in the group through my words and actions, to the best of my ability. Although there is room for dialogue and disagreement, I understand the purpose of this event is to build community. To that end I will use “I statements,” not make generalizations, and not express myself in ways that could make others feel judged.
I assume others are attending with positive intentions and want this to be a good and productive experience. I realize others may hold opinions different from my own. With that in mind, I will not personalize or assume malice when others state their opinions.
I will abide by the ground rules set forth by T-Camp and agreed to by the group as a whole/majority at the start of the retreat and those in this application.
T-Camp Ground Rules I will maintain confidentiality. I will not discuss who participated in the event, nor will I share details of what transpired in any way that could affect the privacy of the group or individuals in the group. I will be an active participant. I will be on-time to all T-Camp activities. I will turn off my cell phone during activities. I will be "all in." I will give a spirit of support. I will support others in the group through my words and actions, to the best of my ability. Although there is room for dialogue and disagreement, I understand the purpose of this event is to build community. To that end I will use “I statements,” not make generalizations, and not express myself in ways that could make others feel judged. I assume others are attending with positive intentions and want this to be a good and productive experience. I realize others may hold opinions different from my own. With that in mind, I will not personalize or assume malice when others state their opinions. I will abide by the ground rules set forth by T-Camp and agreed to by the group as a whole/majority at the start of the retreat and those in this application.
Yes - I agree to abide by the T-Camp ground rules above.
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