Phoenix Rising Collective Application

Intro text Heading link

Student Organization Leaders:

Please complete this application to become a member of the Phoenix Rising Collective for the 2023-2024 academic year.

Please send questions to Ramona Gupta at ramonag@uic.edu.

Phoenix Rising Collective Application Heading link

Student Organization Name: * Required
Student Organization Contact Info: * Required
Please fill in as much as possible. Type "N/A" for anything your organization doesn't have.
Email address Website Instagram Twitter Facebook
President's Name: * Required
President's Email: * Required
Designated Representative's Name: * Required
(Can be the president or another officer)
Designated Representative's Pronouns: * Required
Designated Representative's Title: * Required
Designated Representative's Email: * Required
Additional Representatives' Info:
Please share the Name, Pronouns, Title, and Email Address of any other officers who would like to participate in the Collective. You can click on the plus (+) sign to add additional rows.
Name Pronouns Title Email
Advisor Name: * Required
Advisor Email: * Required
How has your organization demonstrated (or how does your organization aspire to demonstrate) a commitment to feminist leadership, gender equity, and/or social justice? * Required
Does your Designated Representative commit to participating in monthly meetings? * Required
Tentative meeting dates: wlrc.uic.edu/get-involved/phoenix-rising-collective/#2023-2024-meeting-dates
- Yes
- No
Other suggested meeting times:
If your representative is not available at the proposed meeting time (1 Thursday per month, 2-4pm), please suggest other days/times and whether they are available via Zoom or in person.
Questions or comments:
Please let us know if you have any additional comments or questions.
Name of person submitting this form: * Required
Email address of person submitting this form: * Required

Your browser is unsupported

Women’s Leadership and Resource Center

Phoenix Rising Collective Application

Intro text Heading link

Student Organization Leaders:

Please complete this application to become a member of the Phoenix Rising Collective for the 2023-2024 academic year.

Phoenix Rising Collective Application Heading link

Women's Leadership and Resource Center

Email address	Website	Instagram	Twitter	Facebook

Name	Pronouns	Title	Email

Your browser is unsupported

Phoenix Rising Collective Application

Intro text Heading link Copy link

Student Organization Leaders:

Please complete this application to become a member of the Phoenix Rising Collective for the 2023-2024 academic year.

Phoenix Rising Collective Application Heading link Copy link

Intro text Heading link

Phoenix Rising Collective Application Heading link