Name *

First Name

Last Name

Which of the vital interest areas would you consider working with? (Choose up to 5) *

To best serve those in attendance, the conference sessions will be chosen based on the responses that applicants give in this section.

Personal Branding

Financial Literacy & Money Management

Spiritual Growth & Development

Mental Health & Healing

Community Aid & Development

Farming & Agriculture

Outdoor Survival Skills

Furthered & Higher Education

Art & Activism

Social Media

Social Justice

Self Defense

Other

I understand that I am making a commitment to be a full time/residential participant. I will attend all scheduled activities for the entirety of the conference.

Yes

I understand that if selected, I will be responsible for my own transportation to and from Atlanta, GA. However, if there are transportation needs from Atlanta to the retreat site, NSM may be able to provide assistance.

Yes

I understand that I am required to submit 2 letters of reccomendtion to ebonyjackson@nostones.org - one personal (friend or family member) and one from a member of your community (program director, teacher, pastor, etc.). *

Yes

Dietary Restrictions & Allergies *

None

Vegetarian

Vegan

Kosher

Gluten-free

No Pork

No Red Meat

Other