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EnVision2 Application

February 17-19, 2017

Applications are due by midnight, Sunday, January 29, 2017

Name:
Address:
Phone Number:
Email:
Birthday:
Major:
Graduation Year:
How do you identify yourself?
Gender:
Sexual identity (orientation):
Race:
Ethnicity:
Religion/Faith tradition:
Are you a first-generation college student?
Yes   No   Don't Know
Are you an international student?
Yes   No     If yes, what country are you from?
Why do you want to attend EnVision2?
Have you attended Part 1 of the EnVision Social Justice Retreat? If not, please describe you have any prior experience you have with diversity or social justice workshops or courses. 
What social issues, either in our campus community or beyond, would you be interested in working to change?
What do you hope to gain or learn from attending the EnVision2 retreat?
Please list particular needs you may have related to dietary restrictions, disabilities, or medical conditions.
Is there anything else you would like us to consider or you think we should know about you?