JMC Leadership Retreat 2022-2023

Welcome! If you are filling out this form, then you are (or will be) an officer of the Jakara Movement Chapter on your college campus or are a dedicated member who wants to learn more!

This retreat is going to be held in Fresno, CA! It will be held from Friday evening, July 14th to Sunday afternoon, July 16th. You will be required to attend the entire retreat.

You will also be required to provide proof of a NEGATIVE COVID-19 Rapid Test prior to leaving for the retreat. Be mindful of the activities you're partaking before the retreat to avoid any risk of exposure to other JMC students.

At this retreat, you will meet JMC officers and members from across the state and plan out your JMC calendar for the upcoming school year. You learn how to make your club successful and why it is so important to your college and your community. As you continue your journey it is extremely important that you learn to balance your work and your extracurricular activities. Let us help you be successful!

A $20 registration fee is required to reserve your spot. Although we will be covering the majority of the cost food and stay for this retreat, we request you to bring money for the Saturday night dinner as we will not be covering it.

Name*

First NameLast Name

Sex*

Your Pronouns*

Birth Date*

MonthDayYear

Email*

Phone Number*

Area CodePhone Number

College:*

Expected Year of Graduation*

2024202520262027

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Which region is your college in?*

Which committee position will you hold, or are interested in holding?*

Communications ChairFinance & Government ChairIndividual & Membership Development ChairCoalitions, Solidarity, and Partnerships ChairProgramming, Service, & Administration ChairJMC Member

Will you be driving your own car to the retreat?*

YesNoDoes not apply

Would you be willing to allow others to carpool with you?*

YesNoDoes not apply

Will you be needing a ride to the retreat?*

YesNoDoes not apply

Meal Choice*

Non-VegetarianVegetarianVegan

Please list any dietary restrictions and/or allergies you may have.

Although Fresno City College is ADA-compliant, we understand that there are needs that may not be fulfilled. Do you require any special accommodations during the retreat? tion

Preferred Roommates (Up to 3. Please note that this is not promised, but we will try our best to room you with whom you have listed):

In a few sentences, please share what you hope to achieve out of this retreat*

Other comments, questions, or suggestions: