National Activist Camp
Activist Camp Application
First Name
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To be used at the event and on name badge
Last Name
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Full Legal Name
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As it appears on your school or government issued ID
Email
*
Phone
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Street Address
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Street Address (apt, suite, unit etc.)
City
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State
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- select State/Province -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
*
Birth Date
*
Genders
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Agender
Cisgender Man
Cisgender Woman
Non-binary, Gender Expansive, Genderqueer
Trans Man (FTM Spectrum)
Trans Woman (MTF Spectrum)
Two-Spirit (This term should not be co-opted by people who are not indigenous)
Other (Questioning/Don't know/Decline to State)
If other please specify.
If you selected other above, please specify here.
Sexualities
*
Asexual
Bisexual
Gay
Lesbian
Queer
Questioning
Straight
Pansexual/Omnisexual
Other
If other, please specify.
If you selected other above, please specify here.
Race/ethnicity
*
African/African-American/Black
Asian-American
Latinx or Hispanic
Middle Eastern
Multiracial
Native American/Alaska Native/American Indian
Native Hawaiian/Pacific Islander
White
Other, please specify
Or if you identify differently than this list, you may share more below.
If other, please specify.
Name of High School or Middle School you attend
*
High School Graduation Year
*
Accommodations Request
Disability-related requests can be made at any time, but some types of accommodations take several weeks to arrange. Please request accommodations as soon as possible and feel free to follow up with the GSA Staff Member listed on this event.
Food Preferences
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No Preference
Vegetarian
Vegan
Gluten-Free
Lactose-free
Pescatarian
Halal
Kosher
Allergies
Please list food and non food allergies.
What language(s) do you feel most comfortable communicating in?
To create the most accessible space possible, please share what would support your full participation.
Would interpretation support enhance your ability to engage fully in sessions, small groups, or community spaces?
Anything else you’d like us to know about you:
Emergency Contact
*
NOTE: If you are under age 18, please provide guardian/parent information in this section. If you are over 18, please provide emergency contact information.
Emergency Contact Relationship
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Emergency Contact Phone #
*
If we need to contact your emergency contact during camp, how should we describe the program?
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You can mention GSA/TQ2S+ activities
Please use general terms like "youth camp" or "summer program"
Are you involved in a GSA, student council, advocacy group, or other club/collective working to make change in your school or community?
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This could be formal organizing, starting a GSA, peer support, creative projects, mutual aid, or just showing up for friends. If you're new to this, tell us what kind of community work excites you.
Do you have any experience building community and working with TQ2S+ youth in your community to address issues/problems? If so, please explain. If not, what would you want that to look like?
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We want to hear about formal organizing, informal community care, peer support, or how you dream about showing up for your community. There's no wrong answer so share what feels true to you.
What issues/problems do you want to address in your school/district/community?
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What do you want to make better? This could be anything at your school, in your district, or in your community. Examples: safer hallways, healthier lunches, cleaner parks, less bullying, etc.
What have you seen work to get young people from caring about a problem to actually doing something about it?
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What actually gets you and your friends involved? Think about campaigns you've seen (or been part of). What made people show up and stay engaged?
What vision do you have for the future of TQ2S+ Youth in your community?
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From police free schools to housing justice, bathroom access to environmental racism. What makes you want to organize? What needs to change?
Over the next school year, could you commit to running a campaign to address those issues if given support from an organization like GSA Network?
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This camp will help you connect your local campaign to the broader movement. We'll support you with strategy, resources, and a network of organizers doing similar work.
What skills, connections, or tools do you hope to gain from Activist Camp?
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Be specific! This could be organizing skills, leadership tools, connections with other activists, campaign resources, or something else.
How will you take back what you learn at GSA Activist Camp to your GSA and local GSAs outside of your school to support your campaign?
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Maybe you'll host a workshop, start a group chat or organize a meetup. How do you imagine sharing what you learn?
Review