2023 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

Email Address *

Phone Number *

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* 4. Where are you originally from?

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* 5. 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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* 6. What college do you attend?

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* 7. What is your major?

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* 8. What is your minor?

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* 9. Anticipated graduation year

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* 10. What is your overall GPA?

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

Alexandria Public Defender (VIDC) - Alexandria, VA

Brooklyn Defender Services - Brooklyn, NY

The Connecticut Division of Public Defender Services - Hartford, CT

Cuyahoga County Office of the Public Defender - Cleveland, OH

Public Defender Service of the District of Columbia - Washington, D.C.

Maryland Office Of the Public Defender (MOPD) - Baltimore, MD

Orleans Public Defenders Office - New Orleans, LA

Defender Association of Philadelphia - Philadelphia, PA

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* 12. Do you have housing in this area?

Yes

Maybe

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

Alexandria Public Defender (VIDC) - Alexandria, VA

Brooklyn Defender Services - Brooklyn, NY

The Connecticut Division of Public Defender Services - Hartford, CT

Cuyahoga County Office of the Public Defender - Cleveland, OH

Public Defender Service of the District of Columbia - Washington, D.C.

Maryland Office Of the Public Defender (MOPD) - Baltimore, MD

Orleans Public Defenders Office - New Orleans, LA

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 3rd choice for the jurisdiction you are applying for

Alexandria Public Defender (VIDC) - Alexandria, VA

Brooklyn Defender Services - Brooklyn, NY

The Connecticut Division of Public Defender Services - Hartford CT

Cuyahoga County Office of the Public Defender - Cleveland, OH

Public Defender Service of the District of Columbia - Washington, D.C.

Maryland Office Of the Public Defender (MOPD) - Baltimore, MD

Orleans Public Defenders Office - New Orleans, LA

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 submit an essay describing why you should be selected for this fellowship and the importance of racial equity and community defense work.

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

Career services

School counselor's office

Facebook

Twitter

BPDA website

Other (please specify)