2024 HBCU Community Engagement Fellowship Student Application

Question Title

* 1. Applicant's name

Question Title

* 2. What is your preferred pronoun?

Question Title

* 3. Contact Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country

Phone Number *

Question Title

* 4. What is your preferred email address?

Question Title

* 5. What is your permanent email address?

Question Title

* 6. Where are you originally from?

Question Title

* 7. What is your race?

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

White

Another race

Rather not answer

Question Title

* 8. What college do you attend?

Question Title

* 9. What is your major?

Question Title

* 10. What is your minor?

Question Title

* 11. Anticipated graduation year

Question Title

* 12. What is your overall GPA?

Question Title

* 13. Please select your 1st choice for the jurisdiction you are applying for?

The Connecticut Division of Public Defender Services - Hartford, CT

Orleans Public Defender Office - New Orleans, LA

Cuyahoga County Office of the Public Defender - Cleveland, OH (DISCLAIMER: this site pays $15/hr wages)

Defender Association of Philadelphia - Philadelphia, PA

Question Title

* 14. Do you have housing in this area?

Yes

Maybe

Question Title

* 15. Please select your 2nd choice for the jurisdiction you are applying for?

The Connecticut Division of Public Defender Services - Hartford, CT

Orleans Public Defender Office - New Orleans, LA

Cuyahoga County Office of the Public Defender - Cleveland, OH (DISCLAIMER: this site pays $15/hr wages)

Defender Association of Philadelphia - Philadelphia, PA

Question Title

* 16. Do you have housing in this area?

Yes

Maybe

Question Title

* 17. Please select your 3rd choice for the jurisdiction you are applying for?

The Connecticut Division of Public Defender Services - Hartford, CT

Orleans Public Defender Office - New Orleans, LA

Cuyahoga County Office of the Public Defender - Cleveland, OH (DISCLAIMER: this site pays $15/hr wages)

Defender Association of Philadelphia - Philadelphia, PA

Question Title

* 18. Do you have housing in this area?

Yes

Maybe

Question Title

* 19. Please submit an essay explaining why you applied to this fellowship and why you should be selected to participate in this fellowship.

PDF, DOC, DOCX file types only.

Choose File

Question Title

* 20. Please submit a headshot.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 21. Please submit a brief bio.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

Question Title

* 22. Please upload a copy of your resume in PDF format here. Your PDF file name should include your first and last name.

PDF file types only.

Choose File

Question Title

* 23. How did you hear about the BPDA Summer Fellowship Program?

Career services

School counselor's office

Facebook

Twitter

BPDA website

Other (please specify)