Camp Emerge Application 2021

First Name

Middle Name

Last Name

Birthdate

Email Address

Phone Number

Are you Hispanic or Latino?

Yes

No

Prefer not to answer

We realize that the racial/ethnic category you selected encompasses many different nationalities. If you are interested in sharing more, please describe your nationality (i.e., Armenian, Puerto Rican, Vietnamese):

Gender Identity - Other

Please select your preferred personal gender pronouns.

What are personal gender pronouns?

"A personal pronoun is the pronoun(s) a person uses for themselves and how others should refer to that individual" (Source: University of Minnesota, Duluth)

Why are personal pronouns important?

Using someone's correct personal pronouns is a way to respect them and create an inclusive environment, just as using a person's name can be a way to respect them (Source:www.mypronouns.org)

Personal Pronouns - Other

Do you identify as part of the LGBTQIA+ community?

Have you ever served in the US Armed Forces for any length of time?

Yes

No

Are you a First Generation College Student?

Yes

No

Community-Based or Professional Organizations - Other

Permanent Address

Country

Street

City

Region

Postal Code

Is your permanent address different from your mailing address?

Yes

No

Mailing Address

Country

Street

City

Region

Postal Code

College or University

Major

Graduation Date

GPA

Resume

Please upload a copy of your most current resume.

In less than 500 words, please answer both of the following prompts. Please submit the essay in PDF format.

Tell us why you think Camp Emerge would be a good fit for you. Please frame your answer using your academic and professional goals, including your interest in graduate school.
What communities do you consider yourself to be a part of and what are the most pressing problems you believe your communities are facing? How will Camp Emerge equip you to be a leader in addressing those problems?