ACT Leadership Cohort Registration (ALC) | 2024

Thank you for registering for the ACT (Arts for Change and Transformation) Leadership Cohort!

Please note, to be responsive to teens coming from different parts of Denver and its surrounding cities, workshop times have been shifted to 5:00pm - 7:00pm each day.

The ACT Leadership Cohort, or ALC, is a six month extension of our popular Community ACT program and a revision of our Community Leadership Cohort. This program kicks off with our usual two week ACT intensive, exploring arts, social justice, and social-emotional learning, followed by weekly creative programming where we'll work with professional artists in the community, explore movement and wellness practices, and work together to create a culminating art project that activates our communities.

The Cohort will participate in the two week intensive, Monday - Friday @ 5:00 - 7:00pm, May 6th - 17th, 2024. The intensive will take place at our 2900 N. Downing St. location. We will then shift into 6 months of weekly workshops on Tuesdays, 5:00-7:00pm from May 21st through October 29th, 2024. Participants must be between the ages of 13 to 18 to register.

All of our workshops will be in-person at our 2900 N. Downing location or other sites in the Denver Metro area (virtual options sometimes available for those who need it). RTD is currently free until August 31st, 2024 for anyone 19 or under if you need support with transportation, and we can provide passes after that date. (We'll typically host workshops right across the 26th and Downing light rail station!)

We strongly encourage diverse, creative youth leaders of color to register!

Cohort participants will earn up to $1,350 for the whole program and receive free art materials to keep!

Please note that filling out this form does not guarantee you one of the 20 spots in the cohort. We work on a first come, first serve basis while also taking into consideration our racial parity (50% BIPOC participants in all of our programs), and the amount of times registrants have participated in our ACT programming before.

After you complete this form, someone from CSC will reach out to set up time to connect and answer any questions you might have about the program! We will announce our ACT Leadership Cohort members shortly after.

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* 1. Youth Participant Information

First and Last Name

School

Address

City/Town

State/Province

Zip/Postal Code

Email Address

Phone Number

Age

Birthday

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* 2. Parent or Guardian Information

First and Last Name

Email Address

Phone Number

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* 3. How did you hear about ALC?

Social Media

From a friend

A CSC member (staff, facilitator)

Flier/Poster

ALC Steering Committee Member

Other (please specify)

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* 4. Participants will need to commit to attending each workshop (this includes the two-week intensive and the Tuesday workshops). ALC will work to be felixble to make space for unpexected changes. Will you be able to commit to the dates and times of this workshop? If not, please list your conflicts you're aware of below.

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* 5. Have you participated in ACT before?

Yes

Other (please specify)

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* 6. If you answered yes to the above question, do you have any of your materials leftover from previous institutes? (Ex: Canvas, USB mic, headphones, etc.)

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* 7. Do you have a way to get to workshops in-person? (Most of our workshops will take place across the street from the 26th & Downing light rail station, and RTD is free for people under 19 until August 31st, 2024!)

Yes

Other (please specify)

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* 8. How do you identify racially? (Please choose all that apply)

Asian / South Asian / Pacific Island Descent

Black / African Descent

Latina/o/e/x Descent

Middle Eastern Descent

Multiracial / Biracial

Native / Indigenous Descent

White / European Descent

Unsure

Prefer not to answer

Self-Identify / Additional Comments

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* 9. How do you identify ethnically (Ethnicity often refers to the places and cultures that you identify with). Please self-identify. (Non-Exhaustive Examples: African American, Anglo, Chicano/Chicana, French, Mixed Ethnicity, Mixed European Decent, Puerto Rican, Yoruba, etc)

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* 10. What's your national origin? (Please name the country where you were born or share additional comments)

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* 11. What is your gender identity (How would you define your own gender)? (Please choose all that apply)

Transgender

Cisgender

Queer

Woman

Man

Two-Spirit

Non-Binary or Gender Non-Conforming

Genderqueer or Genderfluid

Agender

Questioning or Unsure

Prefer not to answer

Self Identify / Additional Comments

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* 12. What are your pronouns? (Please choose all that apply)

She/Her

They/Them

He/Him

Xe/Xem

Questioning or Unsure

Prefer not to answer

Self Identify / Additional Comments

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* 13. What is your sexual orientation? (Please choose all that apply)

Queer

Pansexual

Lesbian

Gay

Heterosexual (Straight)

Bisexual

Asexual

Questioning or Unsure

Prefer not to answer

Self Identify / Additional Comments

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* 14. What is your first language?

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* 15. What is your (family) class position? (Class often refers to the position someone holds based on their income.)

Low Income/Poor

Working Class

Middle Class

Upper Class

Owning Class

Self Identify / Additional Comments

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* 16. How do you identify related to ability and access? We recognize the terms below are not a complete reflection of the diversity in experience of ability and accessibility. Nor does it capture the variation in needs for accommodations if you do not see an identifier that represents you, please self identify in the area provided.

Neuro-diverse

Living with a disability

Living without a disability

Self Identify / Additional Comments

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* 17. What is your Religious/Spiritual Affiliation?

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* 18. Art

What is one thing you would like to gain from this participating in this cohort?

What specific art form(s) would you like to explore with this cohort? (Examples: painting, theatre, hip-hop dance, drawing, watercolor, guitar, etc)

Are you interested in music (production, creation, recording, etc)?

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* 19. Passion

Who is an artist you admire and why?

What is a social issue you feel passionately about?

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* 1. Youth Participant Information

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* 2. Parent or Guardian Information

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* 3. How did you hear about ALC?

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* 5. Have you participated in ACT before?

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* 6. If you answered yes to the above question, do you have any of your materials leftover from previous institutes? (Ex: Canvas, USB mic, headphones, etc.)

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* 7. Do you have a way to get to workshops in-person? (Most of our workshops will take place across the street from the 26th & Downing light rail station, and RTD is free for people under 19 until August 31st, 2024!)

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* 8. How do you identify racially? (Please choose all that apply)

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* 9. How do you identify ethnically (Ethnicity often refers to the places and cultures that you identify with). Please self-identify. (Non-Exhaustive Examples: African American, Anglo, Chicano/Chicana, French, Mixed Ethnicity, Mixed European Decent, Puerto Rican, Yoruba, etc)

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* 10. What's your national origin? (Please name the country where you were born or share additional comments)

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* 11. What is your gender identity (How would you define your own gender)? (Please choose all that apply)

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* 12. What are your pronouns? (Please choose all that apply)

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* 13. What is your sexual orientation? (Please choose all that apply)

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* 14. What is your first language?

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* 15. What is your (family) class position? (Class often refers to the position someone holds based on their income.)

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* 17. What is your Religious/Spiritual Affiliation?

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* 18. Art

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* 19. Passion

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* 20. Is there anything else that you would like us to know (questions, comments, or concerns)?