Program Application Women of Color who are sophomores and above may apply to The CRWN. You must have JavaScript enabled to use this form. First Name Last Name Are you Hispanic or Latino? Yes No Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member: American Indian or Alaska Native (including all Original Peoples of the Americas) Asian (including Indian subcontinent and Philippines) Black or African American (including Africa and Caribbean) Native Hawaiian or Other Pacific Islander (Original Peoples) White (including Middle Eastern) Other Enter other… Gender Identity Agender Genderqueer / Gender Fluid / Non-Binary Man Unsure/Questioning Woman Prefer not to answer Other, my gender is: Enter other… Are you transgender? Yes No Unsure/Questioning Prefer not to answer Gender Pronouns Leave blank if you prefer not to answer MIT Email Personal Email Telephone Number Year Department Upload a photo/headshot of yourself One file only.10 MB limit.Allowed types: gif, jpg, jpeg, png. Your Video Please upload a brief video (30–45 seconds, 10MB maximum) that describes why your are interested in joining The CRWN and what it means to you to be a part of this community. Upload here, or provide a URL to your video below. Upload Video One file only.10 MB limit.Allowed types: mp4, mov. Video URL The first event will be on September 29, 2023: 5:30pm – 7:30pm. Will you be able to attend this event? Yes No Please provide the reason why you are unable to attend: Leave this field blank
