Annual YouthKAN Summer Training Institute Registration
Join other Asian American high school students for A 5-day OVERNIGHT institute for high school youth to build a toolbox of skills in critical thinking, collective power, storytelling, identity development, and dialogue. You will build relationships across ethnicity and geography, and educate each other on community problems and their impacts on community health and well-being. 2024 Annual YouthKAN Summer Training Institute will be held on July 8, at 11am to July 12, at 2pm, at Camp Indianola (10635 NE Shore Dr, Indianola, WA 98342). Transportation will not be provided.Though high school and middle school camps will be held in the same location, program offerings will be differentiated. All students will come together at mealtimes. Registration closes on April 1, 2024. *Early Registration Fee of $150 has been extended until March 31st! Standard registration ($250) will begin April 1, 2024.
(15 spots remaining)
참가자 정보 Participant Information
필수가 아니고 선택인 경우는 응답하지 않아도 됩니다. (*)표는 필수 입니다. If it is optional and not required, you do not have to respond. (*) mark is required.
Student's Name 학생 이름
*
First Name
Middle Name
Last Name
Date of Birth 생년월일
*
-
Month
-
Day
Year
Date
Graduation Year
*
Please Select
2023
2024
2025
2026
2027
Gender Identity 성별
여성 Female
남성 Male
응답하지 않는 것을 선호한다 I prefer not to answer
Other
Preferred Pronouns
She/Her
He/Him
They/Them
Prefer Not to Say
Other
Race/Ethnicity 인종
*
아시아인 - 한국인 Asian - Korean
아시아인 - 기타 Asian - Other
아메리칸 인디언 또는 알래스카 원주민 American Indian or Alaska Native
흑인 또는 아프리카계 미국인 Black or African American
히스패닉/라틴계 Hispanic/Latinx
중동 Middle Eastern
하와이 원주민 또는 태평양 섬 주민 Native Hawaiian or Pacific Islander
백 인종 White
모른다 Unknown
말하지 않는 것을 선호 Prefer Not Say
Other
Generation 세대
1
1.5
2
2.5
3
I prefer not to say 응답하지 않는 것을 선호한다
Primary Language 주로 사용하는 언어
*
Korean
English
Other
T-Shirt Size
Please Select
Adult S
Adult M
Adult L
Adult XL
Adult XXL
How did you hear about us? 참여하게 된 동기
*
Previous involvement with this program
가족/친구 Family/Friend
교회 Church
한글학교 Korean Language School
신문/라디오 Korean Newspaper/Radio
소셜 미디어 Instagram or Facebook
한인생활상담소 프로그램 Another KCSC program
다른 조직 또는 서비스 제공업체 Another Organization or Service Provider
Other
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Youth Contact Information
Cell Phone 핸드폰 번호
*
Please enter a valid phone number.
Email 이메일 주소
*
example@example.com
Address 주소
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Parent Information
Parent English Name
*
First Name
Last Name
Parent Korean Name
Parent Email
*
example@example.com
Parent Phone Number
*
Please enter a valid phone number.
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Emergency Contact Information
Emergency Contact Name 비상 연락처 이름
*
First Name
Last Name
Relationship to Youth 청소년과의 관계
*
Emergency Contact's Phone Number 비상연락처의 전화번호
*
Please enter a valid phone number.
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의료 정보 Medical Information
This information is confidential and will be referenced for in-person settings. You are welcome to share as much or as little as you would like.
Student Accessibility Needs: We recognize people have different abilities and needs. What do we need to be aware of to make this program accessible for your student? (Please email joann@kcsc-seattle.org if you would rather email this information) / 장애가 있어서 이 프로그램에 참여하기 위해 도움이 필요한 부분이 있으면 말씀해주세요. (예를 들어 Wheelchair를 타기 때문에 엘리베이터가 필요하거나 앉을 때 wheelchair공간이 필요하다든지) 여기에 간단하게 서술하거나 이메일을 선호하시면 프로그램 매니저 Joann@kcsc-seattle.org에게 메일 보내 주세요.
0/500
Food, medication or environmental allergies 음식, 약물 또는 환경 알레르기
0/500
Any physical, mental or other condition that would require special attention or medication? 특별한 주의나 약물 치료가 필요한 신체적, 정신적 또는 기타 상태가 있습니까?
0/500
Is the student up to date on vaccinations?
*
Yes
No
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Early Registration Fee
This registration fee helps cover the cost of lodging. All other costs associated with this summer institute are offered free of charge thanks to competitive grant funding from King County Best Starts for Kids. If you are in need of a scholarship please email fyp@kcsc-seattle.org. 이 등록비는 숙박비를 충당하는 데 도움이 됩니다. 이번 여름 프로그램은 King County Best Starts for Kids의 기금 덕분에 무료로 제공됩니다. 장학금 필요한 경우 fyp@kcsc-seattle.org로 이메일을 보내주세요.
$
150.00
Quantity
1
Payment Methods
Credit Card
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Google Pay
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