Highlander Research and Education Center - Seeds of Fire Camp 2008

1959 Highlander Way · New Market, TN 37820 · phone: (865) 933-3443 · fax: (865) 933-3424
e-mail: hrec@highlandercenter.org

Seeds of Fire Camp 2008
Participant Application

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Apply by June 3, 2008! - Please submit one application per person, along with the organization info.

Note: Fields marked with an * are required.

*Name of the organization:

*Name:

*Age:

*Phone:

*Address

E-mail Address:

Myspace/Facebook ID:

How do you self-identify? Race/ethnicity; Sex/gender; Sexual identity; Class background:

What language do you feel most comfortable speaking?

What do you hope to get out of Seeds of Fire 2008?

Do you commit to working with participants and folk in your community that are from different races, culture, gender, age, legal status, and sexual orientation?

Send us your application.

Click the "Submit" button to send us your application. Click the "Reset" button to clear the form and start over.

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Seeds of Fire Camp 2008 Participant Application

Seeds of Fire Camp 2008
Participant Application