Details on the Academy, including eligibility, here: http://thousandcurrents.org/academy/

Applications are accepted on a rolling basis, with a final deadline of December 1st, 2018

PERSONAL INFORMATION

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* 1. Applicant Name

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* 2. Organizational affiliation

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* 3. What is your gender identity? (Ex: woman, genderqueer, man).

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* 4. Preferred Pronoun(s)

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* 5. What is your age?

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* 6. What is your ethnic and/or racial background? (Ex: Black, mixed Chinese and white, South Asian).

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* 7. Personal Contact Information

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* 8. Work Contact Information

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* 9. Email & Phone - Preferred for Communication

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* 10. Mailing Address - Preferred for Communication

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* 11. Emergency Contact

Language Skills

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* 12. Language

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* 14. Language

REFLECTION

Brief Responses (100-250 words each)

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* 16. How were you informed of the Thousand Currents Academy?

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* 17. Why do you want to attend the Thousand Currents Academy? Please include any thoughts on what questions you are holding; what behavior or practice are you seeking to shift in yourself, your institution, and/or the philanthropic sector; what insights or answers are you hoping the Academy will provide.

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* 18. Please include your brief bio (150 words) here and a photo below (JPG, high resolution) for the Thousand Currents Academy Orientation Guide, which we send to all participants in the weeks prior to the Academy. If you would prefer to not share your photo and/or bio with other participants, please note that here and we will take care not publish or share it beyond Thousand Currents staff and faculty; however please still include here for our internal purposes of knowing a bit more about who you are!

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* 19. Upload your photo here.

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ACCOMMODATIONS, PREFERENCES & NEEDS

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* 20. Dietary Restrictions: Please let us know any special considerations we should be aware of when arranging your meals and specify if they are allergy-related, religious or cultural practices, or other personal dietary choices.

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* 21. Accommodations: Please let us know any special considerations we should be aware of when arranging your sleeping quarters, activity spaces, and curriculum materials. This includes needs related to vision and hearing, mobility, and any other ability or health related requirements. This also includes family needs like on-site childcare.
Note: Accommodations are shared, 2-4 people in a room.

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* 22. Do you have roommate preferences in terms of similar gender or other identities? Please specify below.

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* 23. What fee range do you anticipate you will fall in, if accepted to the Academy?

We ask so we can anticipate costs and revenue, to do our best to ensure as many participants as possible who need subsidized fees or payment plans can access them.

Please refer to http://thousandcurrents.org/academy/apply/ for guidance on which fee range is appropriate for you.

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