International Gathering of Activist Educators Please fill in this survey to express your interest in the International Gathering of Activist Educators to be held at Ulex, 13-21 July 2019. This is not a registration form, registration will open closer to the time of the event. OK Question Title * 1. Contact details Name Organisation (if relevant) City/Town State/Province Country Email Address Phone Number OK Question Title * 2. What kind of activist education work are you involved in? OK Question Title * 3. What are you most curious to learn from other activist educators? What would be of most value in your work? OK Question Title * 4. Would you be interested in presenting a session at the gathering? Yes No OK Question Title * 5. If Yes, what kind of session are you interested in presenting? Exploring pedagogy (how and why we do what we do, deepening the transformational potential of our work) Presenting programs and curriculum (this is what we are doing) for discussion Running sections of curriculum (experience what we do) with reflection and critical feedback Creative, contemplative or body-focused sessions Other Session ideas OK Question Title * 6. Who should we invite? Let us know if you have suggestions for individuals, organisations or networks, and their contact details. OK Question Title * 7. Language I’m happy to communicate in English I’m able to communicate in English but find it tiring or hard to follow I would appreciate interpretation - please note which language in the comment box Language needs OK Question Title * 8. Travel subsidies. We are currently seeking funds to subsidise travel to the event, particularly for activist educators from the Global South. I would like to be considered for travel subsidies I can contribute to the travel fund I have suggestions of funders who could cover travel costs Comments about travel subsidies OK Question Title * 9. Other comments. What else would you like to let us know? Feel free to include any requests that will make this event more accessible for you. OK Thank you for your input! We will keep you informed about this event. If you have any queries contact Holly Hammond: holly@plantowin.net.au OK DONE