ACT 2008-09 Application

ABOUT YOU

School Major/Minor

Year in School Expected Graduation Mo/Year

Organizations You're In

Phone Email

Address

City State Zip

Gender Sexuality Occupation

EMERGENCY CONTACT AND OTHER INFO

Name Relationship Phone

Vegetarian? Yes No

Allergies

Do You Have a Car? Do You Have a License?

Please Specify Any Special Accomodations:

GETTING TO KNOW YOU BETTER

Are You Able to Attend All Three Sessions?
November 7-9 (Veteran's Day) February 21 May 22-24 (Memorial Day Weekend)

What Are Your 2009 Summer Plans? Would You Be Open to a Community or Labor Internship?

Please answer the following questions in the spaces below. Be creative with your responses and answer each question as completely as you can.  Please use no more than 250 words to answer each question.

1. What are your experiences working in the community and/or with on-campus student organizing? If so, please elaborate.  What issues and/or campaigns have you worked on in the past?

2. Why do you want to participate in ACT? How will ACT benefit your involvement in the community? What do you want to learn?

3. One of ACT’s main focuses is political education.  Why do you think political education is important?  What political education experiences do you have?

4. How do you understand movement building?  

5. In the future, how do you see yourself involved with social justice?