Words Create Worlds College Participant Application
Due February 1, 2021
Exploring identity and building community through storytelling and the arts

The Holocaust Memorial Resource and Education Center presents a

Spoken Word Virtual Showcase. Make your voice heard!

We are looking to create a diverse cohort of college students from different religious, spiritual and secular backgrounds to come together to participate in a series of five creative workshops culminating in a final spoken word showcase. Under the facilitation of nationally touring artist and educator, Joe Davis, students will get to know each other, develop community guidelines, and have a crash course in the history and culture of spoken word and slam poetry. Students will be empowered to reflect on their own personal stories, and to work together to create poetry around their unique identities and backgrounds. No prior experience in poetry, spoken word, or performance art is required.

Question Title

* 1. What is your First Name and Last Name?

Question Title

* 2. Please provide your email address:

Question Title

* 3. Please provide your mailing address:

Question Title

* 4. Please provide your phone number:

Question Title

* 5. What are your preferred gender pronouns?

She/her

He/him

They/them

Free response

Question Title

* 6. What is your age?

Question Title

* 7. Which school do you attend?

Question Title

* 8. How would you identify your religious beliefs? (Select all that apply)

Atheist

Agnostic

Buddhist

Catholic

Christian

Hindu

Humanist

Jewish

Jehovah's Witness

Mormon

Muslim

Protestant

Quaker

Sikh

Wiccan

Nothing in Particular

Something Else:

Question Title

* 9. The program consists of 5 virtual poetry workshops culminating in a virtual spoken word showcase. If selected, are you able and committed to attending the following program dates? On every date, we will gather for two hours over Zoom at 4pm EST.

Sunday, February 21
Sunday, February 28
Sunday, March 21
Sunday, April 18
Sunday, May 16
Sunday, May 23 (Spoken Word Showcase Virtual Event)

Yes

Other (please specify availability):

Question Title

* 10. Please tell us a little more about yourself and why you would like to participate in the Words Create Worlds program. What do you hope to gain from this experience?

Question Title

* 11. We aim to create the most inclusive environment possible to ensure your success in this experience! If you would like to share any accessibility or accommodation requests, please write them here! (optional)

Words Create Worlds College Participant Application Due February 1, 2021Exploring identity and building community through storytelling and the arts

Question Title

* 1. What is your First Name and Last Name?

Question Title

* 2. Please provide your email address:

Question Title

* 3. Please provide your mailing address:

Question Title

* 4. Please provide your phone number:

Question Title

* 5. What are your preferred gender pronouns?

Question Title

* 6. What is your age?

Question Title

* 7. Which school do you attend?

Question Title

* 8. How would you identify your religious beliefs? (Select all that apply)

Question Title

Question Title

* 10. Please tell us a little more about yourself and why you would like to participate in the Words Create Worlds program. What do you hope to gain from this experience?

Question Title

* 11. We aim to create the most inclusive environment possible to ensure your success in this experience! If you would like to share any accessibility or accommodation requests, please write them here! (optional)

Question Title

* 12. Is there anything else you would like us to know?

Words Create Worlds College Participant Application
Due February 1, 2021
Exploring identity and building community through storytelling and the arts