URBAN UNDERGROUND - SUMMER SURVEY 2021
Mission:

Urban Underground promotes the next generation of leaders committed to building safe and sustainable communities. We advance our mission through youth-led social justice campaigns in the areas of health, education, public safety, and juvenile justice reform.

We are looking to recruit a diverse 2021 cohort of 20 young people that are committed to learning how to use their voice to change their community. Program members are expected to show up as their authentic-selves and push themselves to take action to create the change they want to see in their communities!

IMPORTANT: WHEN YOU COMPLETE THIS SURVEY PLEASE VISIT https://bit.ly/3eyf6ct TO COMPLETE THE  APPLICATION FOR SUMMER EARN AND LEARN. WE NEED THE INFORMATION IN THIS SURVEY TO SELECT APPLICANTS FOR SUMMER EARN AND LEARN - THESE ARE TWO SEPARATE FORMS.  

Recent Projects:

https://www.urbanunderground.org/invest ( "March with Us Invest In Us" Building Art Project - 08/10/2020)

https://vimeo.com/427070097  ("Young. Gifted. Black." - 06/07/2020)
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Email Address: *
We will be using this to send you details about info sessions and other program specifics.
Phone Number: *
Write the best number to reach you at. If you do not have a working phone number write N/A
First Name: *
Last Name: *
School: *
Current Grade Level: *
If you are currently not attending school select "Not enrolled"
Date of Birth: *
Age: *
Gender: *
Race/Ethnicity: *
Obrigatória
CONTACT INFO
Home Address: *
* Example: 1234 N. 12th Apt. 201, Milwaukee, WI 53200
 Twitter Name: *
If you do not have a Twitter account write N/A
Instagram *
If you do not have a Instagram account write N/A
Facebook Name: *
If you do not have a Facebook account write N/A
INTEREST AND AVAILABILITY
This section helps us created opportunities for program participants that aligns with their passion. This also gives us a sense of your schedule.
What would you like to do for a career? *
Obrigatória
What issues do you care about? *
Obrigatória
Are you currently involved in any other programs/activities after school? *
Obrigatória
Is this your first time applying to join Urban Underground? *
If no to the previous question, when did you last apply?
How did you hear about us? *
Obrigatória
If you were referred by someone please write their name below.
If you were not referred by someone please skip this question.
Do you have any summer obligations such as summer school or a job? *
Are you available from 12pm until 5pm every weekday during the summer?
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