Join us from 4pm-6pm, March 13th-24th Monday through Friday, for our ACT Institute. Participants ages 13-18 engage in activities and exercises focused on an increased understanding of themselves and their world.
We explore complex and necessary topics such as: culture, influence/bias, stress, place, identity, oppression, conflict management, and art activation. All while earning a stipend up to $225!

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* 1. Youth Participant Information

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* 2. How did you hear about ACT?

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* 3. Participants will need to commit to attending the workshops for the full duration. 100% completion and attendance of the workshop is required to receive a full stipend. In order to receive a partial stipend, you must attend at least 80% of the workshops. Will you be able to commit to the dates and times of this workshop? If not please list your conflicts below. 

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

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* 5. How do you identify ethnically? 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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* 6. What's your national origin? (Please name the country where you were born or share additional comments)

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* 7. What is your gender identity? (Please choose all that apply)

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

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

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* 10. What is your first language?

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* 11. What is your (family) class position?

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* 12. 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.

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* 13. What is your Religious/Spiritual Affiliation?

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* 14. Art

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* 15. Passion

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

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