Camp Workshop Form — Ayandeh

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Camp WOrkshop Application

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Name *

First Name

Last Name

Pronouns *

Email *

Phone *

(###)

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Are you interested in attending Camp as a: *

Counselor (co-lead Camper group, overnight stays)

Camp Staff (various support roles, overnight stays)

Ayandeh Volunteer (support as can, limited responsibility, no overnight stay)

Community Member (drop-in, responsible for workshop only, no overnight stay)

Other

How would you characterize your area(s) of expertise? *

What is the draft title of the workshop you are proposing? *

Please give a short description of the workshop. *

What experience and/or credentials do you have that make you qualified to facilitate this workshop? *

Do you envision this workshop being for… (check all that apply) *

Camp Ayandeh (rising 10th-recent high school graduate)

Camp Javan (rising 7th-rising 9th)

Counselors/Staff (as a part of pre-camp training days)

Would you need support from Counselors to run this workshop in smaller groups? Please explain. *

What materials would you need in order to facilitate this workshop successfully? (e.g. projector, whiteboard, plastic cups, etc…) *

What type of space would this workshop best be facilitated? (Check all that apply) *

Indoors - large room

Indoors - breakout rooms

Outdoor

Other

Any other information you’d like to share about this workshop?

Thank you!

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