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Fellows Program ~ Organizations
1.
First Name
2.
Last Name
3.
Email
4.
Job Title
5.
Organization
6.
What is the project you are interested in proposing to us? What is the deliverable you are looking for (memo, public-facing report, blog post, helpline or clinic staffing, etc.)?
7.
What supervision would you or your organization be able to provide?
8.
What is the timeline for working on this project? Please provide the deadline, if applicable, the time commitment per week, etc.
9.
What questions do you have for us?
10.
Is there anything else we should know?
Current Progress,
0 of 10 answered