In order to be able to resume this form later, please enter your email and choose a password.
This form is for both youth and adults registering for Activate Justice Journeys. If you are a youth under the age of 18, you must complete this form with the support of a
parent or guardian. If you have any questions about the form, please contact firstname.lastname@example.org.
If you are an adult, please put "N/A" in the "Parent/Guardian" questions.
As part of the application process, we may contact a personal reference. If you attend a UU or other religious congregation, we request that this reference be your minister, a religious educator, or other congregational leader. If you do not attend a congregation, this reference should be an adult who is not a relative, and who can speak to your personality and leadership development. Teachers, coaches, and supervisors are all good options.
Please ask an adult to serve as a reference for you and share their information below.