(510) 922-8556 info@yesworld.org

Queer Jam 2017 Application

Note: We encourage you to cut-and-paste your answers to this application into a word doc, BEFORE you hit the submit button, as we are occasionally experiencing some technical difficulties with this contact form.  Once you have received confirmation from us that we received your application, then you can go ahead and delete the word doc. Thank you!

Due to the small and personal nature of the event, this questionnaire is longer and more in-depth than most, because we want to get to know you better. Please share as much as you feel comfortable sharing. There is no min/max length for responses and no pressure. We only ask you to share what you feel is 'enough'. We will follow up with more questions or a phone call if we need more information.


Also, please note that all of your answers, including your name and basic info, will be kept in full confidentiality.* Only the leadership team will have access to your application. The more the team learns about you, the more informed their decision about selection can be.


Participant selection will be based on multiple factors, including prioritizing the inclusion and representation of a diverse participant body. Space is limited. If you do not get selected immediately, you may be placed on a wait list if space becomes available.


* Please note that if you are accepted, your name and bio will be shared with the other participants of your Jam just prior to the event. Following the Jam, we will put this information up on our website so that you can participate in the alumni community, unless you request otherwise.


Complete Name (required)

Nickname (what you prefer to be called, if different):

Your Email (required)

Organization or Organizational Affiliation (if applicable):

Website of Group (if applicable):

Street Address (required)

City (required)

State / Province (required)

Zip / Postal Code (required)

Country (required)

Phone (if applicable):

Birthday (Month/Day/Year) (required)

How did you hear about the Jam? Please list sources by name — We want to give them a shout-out of thanks if possible!:

How do you identify? (gender identity, race/ethnic background, sexual orientation, class, anything else that makes you who you are.) We ask because we value diversity, the opportunity to create safe space, and want to know how to best meet participant needs:

What is your gender pronoun?

Who You Are

The people in the room are the focus of the Jam, and sharing our stories, experiences, ideas, etc., through different formats, is how we engage and learn together. The following series of questions is meant to be a taste of this principle. Don't worry about spelling or grammar or eloquent articulation. We just want to get a sense of who you are.

What’s does your current work (or play) look like in the world? What are your skills, interests and passions? Please be as specific as possible about what you do, why you do it, and the values behind it:

What is your personal story around how your LGBTQ* identity connects to your place in the world? (Some prompts of topics are how your identities intersect with your queerness, your relationship to queer communities, your vision of the future of our culture in relation to queers, etc. Don’t feel like you have to answer those prompts, they are only meant to help prompt your thoughts. We are interested in how you tell your own story.) :

What are your burning questions about LGBTQ* experiences, challenges, and hopes in the world right now?:

Why do you want to participate in the Q Jam (as opposed to a conference, a workshop, a meditation retreat, etc.)? What are you hoping to receive? What would you like to take with you back to your life and work from this Jam? What do you want to give? How do you feel the Jam will be valuable for you at this point in your life/work journey?:

Anything else you’d like to tell us?:

Please give us a mini-bio (a paragraph version of your story) written in the third person (for example, using “she”, “they”, or “ze” instead of “I”). Talk yourself up! Include contributions you’ve made, any awards or accomplishments, organizations you’ve been involved with, etc. This is the bio that will be shared with other participants of this Jam, and will be used for the YES! Website. (You can always modify it later.) :

Costs of Attending

The total costs of the Q Jam are $850 per participant ($500 for food and lodging, $350 for program costs of organizing and facilitator honorarium, materials, supplies). Are you or your organization in a position to pay the $800 tuition? We ask for people to contribute a minimum of $500, if possible. If not, how much are you able to contribute?

Some partial work trades may be available. Are there other non-monetary ways that you might be in reciprocity with the Jam (any particular skills, other in-kind contributions, etc.)?:

We never want money to be a barrier in participating in a Jam, so we will do everything we can to make it work for you to attend.
 We work out with each participant a unique combination of payment, scholarship and work trade. Additional donations above the event price are welcome and help us provide scholarships to support the broad spectrum of participation on which this event thrives (they are also tax-deductible). We can also work with you to create a monthly payment plan.


Travel expenses are the responsibility of the participant (the closest airport is San Jose, but Oakland and San Francisco also work well), and we will aim to arrange carpools from all airports to the Jam site. If you are accepted, we will follow up with you to ask about diet, housing, travel plans, etc. We want to be sure to meet your needs at the Jam.


Thanks for applying to the Q Jam!
We’ll be in touch as soon as we can.

Note: We encourage you to cut-and-paste your answers to this application into a word doc, BEFORE you hit the submit button, as we are occasionally experiencing some technical difficulties with this contact form.  Once you have received confirmation from us that we received your application, then you can go ahead and delete the word doc. Thank you!