The Social-Emotional Learning Hub For Black People
Rss Feed
Facebook
Twitter
Instagram
YouTube
Search
Menu
Who We Are
& What We’re About
About Us
Our Framework
Black SEL In History
Programs
Black SEL in Action
Black SEL Summer Institute
Empowering Black Students
Black SEL Summit
Join Us
Black SEL Student Advocates
Resources
Stay In The Know
Free Downloads
Podcast
Videos
Black SEL News
Events
Past & Future
Upcoming Events
Past Events
Contact
Get In Touch
Get Involved
Support BlackSEL
Donate to DOMEF
Summer Institute Student Application
Become a Black SEL Student Advocate
Black SEL Fundraising Vision
test form
Student Summer Institute Registration
Please enable JavaScript in your browser to complete this form.
Student Information First Name Last Name
First
Last
County of Residence
Personal Email Address
T-Shirt Size
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Would you like to purchase an additional Black SEL Summer Institute T-shirt?
Yes
No
Parent/Guardian #1 Full Name
First
Last
Parent/Guardian #1 Email Address
Parent/Guardian #2 (Optional) Full Name
First
Last
Parent/Guardian #2 (Optional) Email Address
Emergency Contact Name #1
First
Last
Relationship to Student (Emergency Contact #1)
Email Address (Emergency Contact #1)
Additional Information (optional) (Emergency Contact #1)
Emergency Contact Name #2
First
Last
Relationship to Student (Emergency Contact #2)
Email Address (Emergency Contact #2)
Additional Information (optional) (Emergency Contact #2)
Medical Conditions
Does your child take any medical conditions, allergies, or accessibility needs we should be aware of?
Dietary Restrictions (Select all that apply)
None
Vegetarian
Vegan
Kosher
Gluten-Free
No Pork
Pescatarian
Other (please specify)
Will your child need to take medication during the Summer Institute? If yes, please list the medication(s) below.
Race/Ethnicity (Select all that apply)
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino/a/x
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
White
Prefer not to say
Self-describe
Gender Identity
Boy
Girl
Non-binary/Gender Fluid
Prefer not to say
Self-describe
School Name
#1) Phone your
Grade Level (Beginning August 2027)
Are there any school-related observations, strengths, challenges, or concerns you'd like to share that would help us better support your child?
Does your family quality for reduced/free lunch?
Yes
No
I am not sure.
Which statement best describes your connection to Black SEL?
I am brand new to Black SEL.
I have attended the Summer Institute before.
I am a new Black SEL Student Advocate.
I am a returning Black SEL Student Advocate.
I participated in the Hillside Hub/Club.
What do you hope to gain from participating in this year's Summer Institute?
Submit
News
Get Involved
About Us
Search
↑
English
English
Deutsch
Español
Français
Italiano
Polski
Svenska
Suomi
Português
Română
Slovenščina
Slovenčina
Nederlands
Dansk
Ελληνικά
Čeština
Magyar
Lietuvių
Latviešu
Eesti
Hrvatski
Gaeilge
Български
Norsk
Türkçe
Bahasa Indonesia
Português (Brasil)
日本語
한국어
简体中文
العربية
Русский
हिन्दी
Українська
Srpski
English (UK)
ایران
ישראל
Македонија
ประเทศไทย
Việt Nam
Accessibility Adjustments
Powered by
OneTap
Hide Toolbar
Back
How long do you want to hide the toolbar?
Hide Toolbar Duration
Only for this session
24 hours
A Week
Not Now
Hide Toolbar
Select your accessibility profile
Vision Impaired Mode
Enhances website's visuals
Vision Impaired Mode
Seizure Safe Profile
Clear flashes & reduces color
Seizure Safe Profile
ADHD Friendly Mode
Focused browsing, distraction-free
ADHD Friendly Mode
Blindness Mode
Reduces distractions, improves focus
Blindness Mode
Epilepsy Safe Mode
Dims colors and stops blinking
Epilepsy Safe Mode
Content Modules
Font Size
+
Default
-
Readable Font
Line Height
+
Default
-
Cursor
Letter Spacing
Align Text
Font Weight
Color Modules
Light Contrast
High Contrast
Monochrome
Orientation Modules
Reading Line
Reading Mask
Hide Images
Highlight Content
Stop Animations
Highlight Links
Skip To Content
Choose...
Main Content
Navigation
Footer
Reset Settings
Subscribe Today
Get latest News & Events Details.
Subscribe
We will never share your email with others.
Leave this field empty if you're human:
×
