• LOTUS Legal Clinic Writing Workshop Application

  • Format: (000) 000-0000.
  • Preferred method of communication
  • Which type of writing or communication are you most interested in? (please select all that interest you)

  • What is your motivation for joining this workshop? What are you hoping to learn, practice, or gain from this experience?

  • 0/500

  • Tell us about your previous experience with writing, storytelling, testimony, op-eds, panels, advocacy meetings, facilitation, or public speaking.

    No prior experience speaking, writing, or storytelling required; we are just hoping to get an understanding of participants' past experience before joining this workshop to make sure it is tailored to past experiences. 

  • 0/500

  • LOTUS Workshop Intake Form

    This questionnaire is designed to help us to gauge the individual needs of each workshop participant create an environment of safety and trust. There are no wrong answers. These answers are confidential and will not be shared beyond the individuals directly involved with this program.
  • How would you classify your victimization experience? (check all that apply)*
  • Have you engaged with previous counseling of any type?*
  • Check any of the following you have experienced in the last year:*

  • Demographic Information

    This information helps us track the impact of our communication, as well as the accessibility and relevancy of our programming. This information is completely confidential.
  • Citizenship Status*
  • Gender Identity*
  • Race*
  • Check all that apply.
  • Should be Empty: