Black and Jewish Leaders of Tomorrow (BJLT) Leadership Forum Application

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* 1. What is your name?

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* 2. What are your pronouns?

They/Them

She/Her

He/Him

Prefer not to answer

Other (please specify)

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* 3. What is your college or university?

Albany State University

Clark Atlanta University

Emory University

Fort Valley State University

Georgia State University

Georgia Tech

Kennesaw State University

Morehouse College

Savannah State University

Spelman College

University of Georgia

Other (please specify)

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* 4. What is your racial/religious identity?

African American or Black

Jewish

Both

Other

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* 5. What is your major?

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* 6. What is your current academic classification?

Sophomore

Junior

Other (please specify)

Black and Jewish Leaders of Tomorrow (BJLT) Leadership Forum Application

Question Title

* 1. What is your name?

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* 2. What are your pronouns?

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* 3. What is your college or university?

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* 4. What is your racial/religious identity?

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* 5. What is your major?

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* 6. What is your current academic classification?

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* 7. What leadership experiences have you had in college, including the name of the organization or club and your role?

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* 8. Why are you interested in participating in the BJLT Leadership Forum?

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* 9. Please take this time to briefly tell us more about your Black or Jewish identity/experience.

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* 10. List any allergies or dietary restrictions you may have.

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* 11. Please provide your email and cell phone number.