Bright Futures Interest Form- Old Worthington Library

Bright Futures Interest Form- Worthington Libraries

Thank you for your interest in Bright Futures- a leadership and social justice program that will be held on Wednesdays from 4-6 pm at the OWL Meeting Space at the Old Worthington Library located at 820 High St, Worthington, OH 43085.

For many years, Bright Futures has empowered girls and gender-nonconforming youth by shedding light on the social justice issues that impact them and encouraging them to take action.

The program consists of a six-part series of Empowerment Workshops focused on social justice and leadership. Through engaging discussions and activities centered around issues like racism, sexism and intersectionality, we seek to up-end insecurities rooted in oppressive ideas and institutions, and equip participants with the tools and knowledge to advocate for social change.

Filling out this interest form would allow you to additional information about the program and an invite to an informational meeting that will take place on September 18th from 4-5 at the OWL Meeting Space at the Worthington Library to learn more about the program!

Question Title

* 1. First and Last Name

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* 2. Gender Pronouns

she/her

he/him

they/them

other

Prefer not to say

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* 3. Grade

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* 4. Participant's Phone Number

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* 5. Participant's Email Address

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* 6. Parent/ Guardian Information

Full Name

Relation to Participant

Phone Number

Email Address

Address

City, State , Zip Code

Bright Futures Interest Form- Old Worthington Library

Bright Futures Interest Form- Worthington Libraries

Question Title

* 1. First and Last Name

Question Title

* 2. Gender Pronouns

Question Title

* 3. Grade

Question Title

* 4. Participant's Phone Number

Question Title

* 5. Participant's Email Address

Question Title

* 6. Parent/ Guardian Information

Question Title

* 7. Why are you interested in being a part of Bright Futures?