Your Name (First and Last):
Email:
Complete home address (including street, city, state, zip code):
Home phone number:
Cell phone number:
Address between June 12 and August 20, 2009 (if different than above):
Phone number between June 12 and August 20, 2009 (if different than above):
Race/Ethnicity (optional):
Gender:
T-shirt size: Small Medium Large X-Large
The goals for the Tri-College Institute are:
- To assist students in their transition to college, and enhance leadership skills.
- To encourage personal and social awareness about issues of difference (race/ethnicity, gender, socio-economic class, power, and privilege) that can serve as a framework for understanding society-at-large, the campus culture, inter/intra group dynamics and individual, interpersonal interactions.
- To provide support and information that helps students navigate the college system.
The following questions are intended to give an overview of perspectives but no specific response or specific experiences are required for program selection. Please briefly (no more than 200 words per question) answer the following:
1.How has your racial identity impacted your life?
2. Describe any previous diversity education programs in which you have participated, or in which you played a leadership role:
3. What diversity issues are of most interest to you?
Note: The application deadline is June 12, 2009.
