Mission Voices Summer 2017 Application

Please note, you cannot save this form. It must be completed and submitted in one session. We recommend working on your answers in a separate application and inputting them all at once. Questions or technological issues? Contact Maya Gomez at [email protected].

Youth Basic Information

Full Name: *

Age: *

Address: *

City: *

Phone: *

(XXX)-XXX-XXXX

Email Address:

School: *

What is the best way to contact you? *

(e.g. text message, email, etc.)

Parent/Guardian Information (if under 18)

Full Name: *

Address: *

City: *

Phone: *

(XXX)-XXX-XXXX

Email Address:

Application Questions

How did you hear about SoEx’s Mission Voices Summer? *

Why do you want to join MVS and what do you hope to learn? *

Are you an artist (you don't have to be to join!)? What do you like to make? *

Do you participate in any other activities outside of school or during the Summer? *

If yes, please specify.

Who are your favorite artists, leaders, speakers, musicians and writers? *

Hit "Submit" only once! It may take up to 2 minutes to process your application. Do not navigate away from this page until you get a confirmation message.

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Southern Exposure

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Mission Voices Summer 2017 Application