Learning for Equity MasterClass Application

Welcome!

Thank you for your interest in MasterClass. Please complete the application below.

If you are unable to upload your materials, please send your application as a shared Google Doc link to areyes@chc-inc.org. Applications are open until Monday, May 30, 2022 11:59pm pst.

Selection Criteria
•16-20 years old
• A resident of the state of California

Contact Information
Please reach out to Anthony Reyes, areyes@chc-inc.org, for support completing the application.

1. First Name *This question is required.

2. Last Name *This question is required.

3. Email Address This question requires a valid email address.

4. Zip Code
What's your residential zip code? *This question is required.

5. High School/College/University *This question is required.

6. Grade/Academic Standing for the 2022-2023 school year *This question is required.

7. Video or Written Introduction - Maximum of 3-5 minutes/2-3 pages

Prompt:

Please state: name, age, pronouns
Please describe: how you describe your identity? How do you identify socially?
Briefly describe:

(1) If selected for the program, how will you apply skills and knowledge gained to advance equity.
(2) Please be sure to answer why you’re interested in applying? What do you hope to get out of this course?
You may also consider –

How are you going to take what you’re learning in these spaces and apply back into the community?
How is this master level class of organizing going to have an impact back on the work you are doing on a local level?

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8. You can copy and paste your Written Introduction from question 7 here.

9. Supporting Submissions

• Please upload a mixed/multimedia piece that reflects the advocacy/organizing/activism work you’ve been doing. It can be an existing piece, or one created specifically for this submission (1 page min, 3 page max OR 2-4 minutes). Multimedia Piece Ideas: essay, prose, spoken-word, play/skit, poetry, monologue, visual art, story, etc.

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10. You can copy and paste your Supporting Submission from question 9 here.

11. References

• Please submit the name and contact information for two references (can be family members, friends, peers, classmates, pastor, professor/teacher, coaches, colleagues, mentor, etc.) *This question is required.

12. What kinds of digital/computer devices do you have access to? Please select all that apply. *This question is required.

Smart Phone
Laptop computer without a camera
Laptop computer with a camera
Desktop computer without a camera
Desktop computer with a camera
Other - Please specify
I don't have access to any devices

13. Full participation in MasterClass requires each student attend all required Classes, Labs, and complete outside work with group mates, for a total weekly time commitment of about 10-14 hours/week.

What, if anything would get in the way of you participating at least 10 hours/week on a weekly basis in this program? *This question is required.

Please enter an 'other' value for this selection.

14. Are you interested in staying connected with Learning for Equity and Community Health Councils?
While we are unable to accept everyone into MasterClass, we value every applicant and the time they put into this process. Select "yes" to be included in future L4E opportunities, marketing emails, campaign efforts, and calls to action. *This question is required.

Learning for Equity MasterClass Application - Final

Learning For Equity MasterClass! - Application