SF Citywide BSU: Youth Leadership Camp Form

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SF Citywide BSU is a youth-led collaborative that emphasizes the importance of Black culture and youth in San Francisco. While providing a safe space for Black youth to socialize and discuss matters of importance, we nurture the future and endeavors of our members in providing internship and leadership opportunities, mentorship, and further community involvement. We are advocates for social justice and change, and are constantly looking for ways to implement lasting, positive change throughout the city.

We are looking to extend a mentorship with our fellow youth in San Francisco. Applicants must be in 6th-9th grade for the 22-23 school year, and Black/African American.

Participants will be assigned one mentor (all mentors are members of SF Citywide BSU) Participants will engage in a 4 week commitment to in-person attendance Mon, Tues, Wed, from 10 AM-2 PM throughout the month of July. All camp sessions will be held at 100% College Prep, 1201 Mendell St.

Apply for the opportunity to engage with us in 1-1 mentorship, community involvement, leadership growth, and exercise the importance of self-awareness and love... all while getting paid!

Email *

Name (First, Last) *

Phone Number *

School (21-22 School Year) *

Grade (Must be in 7th/8th Grade for the 21-22 school year to apply!) *

Parent/Guardian Name (First, Last) *

Parent/Guardian Email *

Parent/Guardian Phone Number *

Emergency Contact Name *

Emergency Contact Phone Number *

Will you be able to commit to the program schedule? *

Participants will be meeting three times a week throughout the month of July (Mon, Tues, Wed) from 11 AM- 2 PM.

Yes

Will you have reliable transportation to and from the program? *

Camp sessions will be held at 100% College Prep, 1201 Mendell St, San Francisco, CA 94124. In the case of field trips to museums/local parks, permission slips will be issued and safety as well as multiple chaperones ensured.

Yes

Do you have any trips or out of town commitments planned for the month of July that may interfere with our program schedule? If yes, please describe. *

Please list any commitments you have arranged for the summer, and what this looks like on your schedule. (Babysitting, summer school, summer job, sports practices, etc) *

How did you hear about our program? *

Do you know anyone affiliated with SF Citywide BSU, if yes, please list their name(s). *

Why do you think you would benefit from our mentorship program? *

Send me a copy of my responses.

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