2021 LearnServe Student Action Summit

Thank you for your interest in the 2021 LearnServe Student Action Summit on Saturday, January 30th from 10:00am - 2:00pm (EST)! The LearnServe Student Action Summit provides opportunities for students worldwide to learn from one another about the social issues they are passionate about, and sharpen their presentation and public speaking skills.

Please submit the registration form below to participate in the event! It should not take more than 5 minutes to fill-in and all required fields must be completed.

Once you have submitted your registration, the LearnServe team will follow up regarding next steps. Questions? Contact Florence Rivkin at florence@learn-serve.org or visit https://bit.ly/3bJJ8tK

Demographic Information

First Name *

Last Name *

Your Email *

Cell Phone *

In which city / state / country do you live? *

Are you a student or an educator? *

What school/organization do you attend/work for? *

IF YOU ATTEND OR WORK AT A SCHOOL - What type of school is it? (public/private/charter/etc.)

IF YOU ARE A STUDENT - What is your expected high school graduation year?

IF YOU ARE A STUDENT - Parent/Guardian 1 First Name

IF YOU ARE A STUDENT -Parent/Guardian 1 Last Name

IF YOU ARE A STUDENT -Parent/Guardian 1 Email

SUMMIT QUESTIONS:

Are you available on Friday, January 29th from 5:30 – 6:30 pm to attend a virtual Social Hour? (The Social Hour is an opportunity to get to know others attending the Summit and practice your networking skills!) *

Are you available to attend the Summit on Saturday, January 30th from 10:00am - 2:00pm (EST) *

On the day of the Summit, will you have access to: (please mark all that apply) *

Internet
A Phone or Computer with a Camera to Video Chat

Have you used Zoom before to video call? *

How did you find out about the 2021 LearnServe Student Action Summit? *

SESSION QUESTIONS: For descriptions on the following Panels, Activities, & Workshops - visit the LearnServe link above.

PANELS: At the beginning of the event you will be given the choice of attending one of 3 panels. Mark below your TOP CHOICE of panel to attend.

The panel I want to attend is: *

WORKSHOPS: You will attend two workshops (Session A and Session B) at the Summit. Please mark below your TOP TWO WORKSHOP CHOICES for each session.

SESSION A = The top two workshops I would like to attend in Session A are: *

Communicating Compassion - Empathy Training
Using Your Voice in Speech and Debate
Religious Freedom and Democracy
Being your own 'Rock'
Fighting Fast Fashion!
Stay on Track: Helping Teens Who Are First-time Offenders

SESSION B = The top two workshops I would like to attend in Session B are: *

Communicating Compassion - Empathy Training
Using Your Voice in Speech and Debate
Socioeconomic Privilege in a Pandemic
Public Speaking for Political Causes
Mastering the Art of Public Speaking and Communication
Collaboration for Development
Life Resettled

ACTIVITIES: At the end of the event, you will have the choice of attending one of 2 activities. Please mark below your TOP CHOICE of activity to participate in.

The Activity I want to participate in is: *

Anything else you want us to know?

Please fill out the captcha on the right.

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2021 LearnServe Student Action Summit

Demographic Information

SUMMIT QUESTIONS:

SESSION QUESTIONS: For descriptions on the following Panels, Activities, & Workshops - visit the LearnServe link above.