Soul Trak - 2022 Family Adventure Cohort Application

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* 1. Student Information

Student's Name

Student's DOB

Student's Grade

Student's Preferred Gender Pronouns

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* 2. Student Information

Student's Name

Student's DOB

Student's Grade

Student's Preferred Gender Pronouns

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* 3. Parent/Guardian Information

Parent/Guardian Name

Parent/Guardian Preferred Gender Pronouns

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* 4. Enter the corresponding information below

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

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* 5. How did you hear about Soul Trak?

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* 6. Please describe any interest or past experiences you all have had in nature.

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* 7. In your opinion what are some reasons more families of color may not spend time outdoors?

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* 8. The Family Adventure Cohort will meet twice a month. Cohort members are expected to attend a minimum of 80% of cohort meetings, Parents are expected to attend at least half of the programming activities. Can you make this time commitment to the cohort?

Yes

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* 9. What do you hope to learn through the Family Adventure Cohort?

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* 10. Soul Trak's FAC will help organize two larger community initiatives to further engage marginalized communities in nature. As a member of the FAC, what initiative would you propose to positively impact the community?

Soul Trak - 2022 Family Adventure Cohort Application

Question Title

* 1. Student Information

Question Title

* 2. Student Information

Question Title

* 3. Parent/Guardian Information

Question Title

* 4. Enter the corresponding information below

Question Title

* 5. How did you hear about Soul Trak?

Question Title

* 6. Please describe any interest or past experiences you all have had in nature.

Question Title

* 7. In your opinion what are some reasons more families of color may not spend time outdoors?

Question Title

* 8. The Family Adventure Cohort will meet twice a month. Cohort members are expected to attend a minimum of 80% of cohort meetings, Parents are expected to attend at least half of the programming activities. Can you make this time commitment to the cohort?

Question Title

* 9. What do you hope to learn through the Family Adventure Cohort?

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* 10. Soul Trak's FAC will help organize two larger community initiatives to further engage marginalized communities in nature. As a member of the FAC, what initiative would you propose to positively impact the community?

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* 11. What else should we know about you?