NYU LA Activation Hub Interest Form
Please email sania@yeaimpact.com and samuel@yeaimpact.com with any questions!
Email *
First Name *
Last Name *
Pronouns *
Required
How would you describe your gender? *
How would you describe yourself?
Graduation Year *
What are the primary reasons for your study session? (max 3) *
Required
Which of the following applies to you? *
If you have an internship, where are you interning?
Which initiative(s) are you most interested in? (Check all that apply.) *
Required
The Activation Hub will provide opportunities for grassroots activism, community-building with social justice organizations as well as entertainment industry professionals. How many hours per week do you want to spend in Activation Hub initiatives/events? *
Would you be interested in a one-on-one to learn more about Activation Hub initiatives and how they can elevate your career and academic goals? *
What issues/topics are you more passionate about? *
Required
Is there anything else you would like to share with us?
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of YEA! Impact. Report Abuse