Action Network

Powershift Colorado Interest Form

Powershift Colorado 2027 Interest From

Disclaimer: Responses to these questions will help us craft an intentional weekend together. Applicant background, availability, level of experience, or answers to any of these questions will not disqualify you from participation.

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County *

Not in the US?

Age Range 17 & Under 18 - 24 25 - 30 31 - 34 35 & Over

I'm interested in Higher Education Health Care Civic Engagement Workforce and Finances

How do you identify? (Select all that apply) BIPOC LGBTQIA2S+ Rural community member First-generation college student Immigrant/refugee Prefer not to say Other...

Are you currently enrolled in a higher education institution? * Yes No

What social issues or causes are you most passionate about? (Select all that apply) * Mental health Education equity Climate/environment Immigration justice LGBTQIA2S+ rights Racial justice Economic opportunity/workforce Housing Healthcare access Other...

This retreat includes shared cabin living spaces, bunk beds, outdoor activities, no showers, and time around animals (horses, goats, dogs, etc.). Do you feel comfortable participating in this type of environment? * Yes Maybe / I have questions No

Please list any dietary restrictions *

Please list your preferred pronouns *

Do you have any accessibility needs, preferred sleeping arrangements, dietary restrictions, allergies, or accommodations you would like us to be aware of?

How did you hear about Powershift Colorado? * School/campus Social media Friend/family Community organization Young Invincibles Other...

Next steps require having a 1:1 conversation if one of our staff members, that does work for you? *

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Sponsored by: Young Invincibles