LLCEC 2021: Registration Form and Needs Survey
Due to Covid 19, the LLCEC will not offer our traditional summer camp this year. Don't worry! We will be back in 2022 with the most amazing program ever.  To keep our communities safe, the 2021 LLCEC will include a variety of LLCEC Pop-Up Day Camps featuring the best aspects of the program:

Please complete this registration form and needs assessment by Friday, May 14th to get first access to the LLCEC materials this year.  Please note that an orientation (in person and online will be held in Lexington and Louisville on May 20th).  Social media engagement through mini-college courses will be shared on Instagram starting in June to engage participants and community members throughout the summer to build interest for the pop-ups.

Students who cannot participate in the in-person pop-ups can still receive an LLCEC Care Kit with materials and can set up one on ones for College/Career Design Sessions and participate in one or all of the live online sessions held weekly in July.
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Pop-Up Agenda
Dates/Locations:  
Lexington on July 22 and July 24
Louisville on July 27 and July 31

Programs will begin at 10 am and end by 7 pm each day.

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First Name / Primer Nombre *
Last name(s) / apellido(s) *
Mailing Address (# Street) / Dirección de correo (número y calle)- Example/Ejemplo:                                 123 Main Street, Apt 5 *
City, State and Zip Code / Ciudad, estado y código postal- Example/Ejemplo: Lexington, KY 40504 *
Email address / correo electrónico: *
Phone number / número de teléfono: *
May we text you at the number listed above? / ¿Nos das permiso enviarte un mensaje de texto a tu número de teléfono? *
Name of Current School / Nombre de tu escuela actual *
Grade for 2021-2022 / año escolar para 2021-2022 *
Have you been to the LLCEC before? *
T-shirt size *
Pronouns *
Which LLCEC day camp would you like to attend? Please select all dates/locations you would like to attend.  / En cuál localización del campamento de dia te gustaría asistir? Favor de seleccionar cada opción a que te gustaría asistir. *
At this time the LLCEC Leadership team is planning programs in Lexington (on Thursday July 22 and Saturday July 24) and Louisville (on Tuesday July 27 and Saturday July 31).  We will consider hosting a pop-up in other areas of the state if we have enough applicants from a specific region/area. / En este momento, el equipo de liderazgo de LLCEC está planeando  programas en Lexington (el jueves 22 de julio y el sábado 24 de julio) y Louisville (el martes 27 de julio y el sábado 31 de julio). Consideraremos ofrecer el programa en otras áreas del estado si tenemos suficientes solicitantes de una región / área específica.
Required
Which social justice art projects would you like to participate in? Select up to three. / En cuales proyectos de arte sobre la justicia social te gustaría participar? Escoge no más que tres opciones. *
Required
I have access to a reliable computer, laptop or device from which I can access online gathering platforms such as Zoom, Teams and engage in social media like Instagram, Facebook, etc.  / Tengo acceso a una computadora, computadora portátil, tableta o celular desde el cual puedo acceder a plataformas en línea como Zoom, Teams y también puedo participar en redes sociales como Instagram, Facebook, etc. *
I have a reliable and secure internet connection (wifi or hotspot) that allows me to complete \stream videos, access educational apps, participate in online gatherings like ZOOM, and access library services, etc. / Tengo una conexión a Internet confiable y segura (wifi o hotspot) que me permite completar \ transmitir videos, acceder a aplicaciones educativas, participar en reuniones en línea como ZOOM y acceder a servicios de biblioteca, etc. *
I know how to use: (check all that apply) / Yo sé como usar: (selecciona todo que corresponde) *
Required
Please check all that apply to your situation. / Favor de seleccionar cada situación que corresponde a tí *
Required
What is your language of preference? / Cuál es tu lenguaje preferido? *
Would you like someone from LLCEC to call you to talk more about camp/college? / Quieres que alguien del LLCEC te llame para discutir el campamento o la universidad? *
What kind of programs, events, services or support would you like most from the LLCEC 2021? / ¿Qué tipo de programas, eventos, servicios o apoyo te gustaría ver como parte de LLCEC 2021? *
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