Please fill out the form below to state your interest in attending Boardwalk Academy. Name* First Last Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Personal Email Address* Phone*Note: The next steps in our recruitment process is for a member of our team to call you to schedule a phone or in-person interview. Please list the number that we should call to reach you for this purpose. And if needed, use the space below to share any special instructions or other information that we need to know to successfully connect with you.Example: I am only available at this number Mon-Fri, from 5:00 pm – 9:00 pm.GenderAgeRace / EthnicityIn which of the following categories does your poverty-related, lived experience align? Eviction or Homelessness Food insecurity. Not enough money to feed your family Unemployment/Underemployment No access to quality, affordable childcare Other If Other, please explain:If accepted into Boardwalk Academy, which of the following supports will you need? Transportation to and from training Childcare Number of childrenAge(s) of child(ren)Participant Stipend $25/hour stipend | Note: stipends are available for all attendees unless this professional development opportunity is employer sponsered. Why are you interested in participating in our Boardwalk Academy?*Are you interested in serving as a volunteer leader for any specific nonprofit organization in Dane County? If so, please list the names(s) below.