Student Activist Network: Cohort 2 Application

Thank you for your interest in joining NYSCASA's second Student Activist Network Against Sexual Assault. Please respond to the following questions to be considered for participation. To learn more about the Student Activist Network Against Sexual Assault, visit http://www.nyscasa.org/student-activist-network

If you have any questions please do not hesitate to contact E Bjorkman, Director of Campus Projects, at ebjorkman@nyscasa.org. Thank you!

Question Title

* 1. Provide contact information for your student-led group planning to participate in the Student Activist Network.

Student 1 Name

Student 1 Email

Student 1 Cell Phone

Student 1 Class Year

Student 2 Name

Student 2 Email

Student 2 Cell Phone

Student 2 Class Year

Student 3 Name

Student 3 Email

Student 3 Class Year

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* 2. Provide your advisor's contact information.

Name

Title/ Department

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* 3. What college do you attend?

Name

Address

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* 4. Provide the name of your student-led group (if applicable).

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* 5. Describe your student-led group, including your mission and goals.
If you do not have a group yet, what goals could you set?

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* 6. Provide a summary of your sexual violence advocacy efforts on campus.
Are you coordinating with others? How do you increase participation? How does your group share information? How does your group build relationships (with each other/outside groups)?

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* 7. What are 1 or 2 key changes your campus needs to make regarding sexual violence prevention or response?

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* 8. What is something that your campus is doing well in terms of preventing or responding to sexual violence?

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* 9. What type(s) of activism are you engaged in or are you interested in starting?

Grassroots Activism

Systems Change

Cultural Norms

Other (please specify)

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* 10. Describe your supports you have in executing this project (e.g., fellow students, advisor, administration, campus community, other organizational support).

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* 11. Explain why your group should be selected to participate in the Student Activist Network Against Sexual Assault.

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* 12. I am able and willing to meet 2-3 times over the summer for training and/or coordination with other SANASA participants

Yes

Student Activist Network: Cohort 2 Application

Question Title

* 1. Provide contact information for your student-led group planning to participate in the Student Activist Network.

Question Title

* 2. Provide your advisor's contact information.

Question Title

* 3. What college do you attend?

Question Title

* 4. Provide the name of your student-led group (if applicable).

Question Title

* 5. Describe your student-led group, including your mission and goals.If you do not have a group yet, what goals could you set?

Question Title

* 6. Provide a summary of your sexual violence advocacy efforts on campus. Are you coordinating with others? How do you increase participation? How does your group share information? How does your group build relationships (with each other/outside groups)?

Question Title

* 7. What are 1 or 2 key changes your campus needs to make regarding sexual violence prevention or response?

Question Title

* 8. What is something that your campus is doing well in terms of preventing or responding to sexual violence?

Question Title

* 9. What type(s) of activism are you engaged in or are you interested in starting?

Question Title

* 10. Describe your supports you have in executing this project (e.g., fellow students, advisor, administration, campus community, other organizational support).

Question Title

* 11. Explain why your group should be selected to participate in the Student Activist Network Against Sexual Assault.

Question Title

* 12. I am able and willing to meet 2-3 times over the summer for training and/or coordination with other SANASA participants

* 5. Describe your student-led group, including your mission and goals.
If you do not have a group yet, what goals could you set?

* 6. Provide a summary of your sexual violence advocacy efforts on campus.
Are you coordinating with others? How do you increase participation? How does your group share information? How does your group build relationships (with each other/outside groups)?