SAA Leadership Workshop Registration

SAA Leadership Workshop Registration - '23 Fall Session

Thank you for your interest in our Leadership Workshops!

Please click below to register.

Participant Information

First Name

Last Name

Surname

Mobile Phone

Student E-mail

Street Address

City

State

Postal / Zip Code

School Information

School

Other

Year in School

Date of Birth (mm/dd/yyyy)

Sex - same as listed on your Government Issued ID

Ethnic Identity (check all that may apply)

AsianBlack/AfricanCaucasianHispanic/LatinoNative AmericanPacific IslanderPrefer not to answerOther

Parent/Guardian Information

Parent/Guardian 1 Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent Mobile Phone

Parent Email

Street Address

City

State

Zip Code

Program Information

Have you previously participated in a SAA Trip to New Orleans?

YesNo

Have you participated in any previous Workshops with SAA?

YesNo

Series Selection

Select Workshop - Each Workshop has 3 sessions on Saturdays

Human Rights & Civil Rights - 1960’s Movement

Do you need a partial scholarship to help fund your participation?

YesNo

Dollar Amount You Are Requesting:

Please explain why you are requesting a need-based partial scholarship.

Special Notes: Our workshop will take place on ZOOM. Please indicate if you have any Internet connectivity issues that might affect your participation

How did you hear about Shirts Across America (Select all that apply)

Volunteered with SAA previouslySibling / RelativeSchoolFriendWebsiteOtherNone of the Above

Other

Please share the name(s) of your friend(s)/family who have volunteered in the past