2024 HBCU Community Engagement Fellowship Student Application

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* 1. Applicant's name

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* 2. What is your preferred pronoun?

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* 3. Contact Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Country

Phone Number *

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* 4. What is your preferred email address?

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* 5. What is your permanent email address?

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* 6. Where are you originally from?

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* 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

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* 8. What college do you attend?

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* 9. What is your major?

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* 10. What is your minor?

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* 11. Anticipated graduation year

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* 12. What is your overall GPA?

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* 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

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* 14. Do you have housing in this area?

Yes

Maybe

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* 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

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* 16. Do you have housing in this area?

Yes

Maybe

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* 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

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* 18. Do you have housing in this area?

Yes

Maybe

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

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* 20. Please submit a headshot.

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* 21. Please submit a brief bio.

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

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

Career services

School counselor's office

Facebook

Twitter

BPDA website

Other (please specify)