Exit this Survey Sullivan Selma Internship Application The Sullivan Selma Internship is in its beta year. We are looking for a group of student participants who are excited to provide feedback to the program and help grow it for future years. As such, we are looking for participants in this first year who are excited and willing to work with a program in its formative first year. Question Title * 1. Name Question Title * 2. Email Question Title * 3. Telephone Number Question Title * 4. Permanent Mailing Address Question Title * 5. Student Mailing Address Question Title * 6. What school are you from? Question Title * 7. Major +/or Minors Question Title * 8. Year in School First Year / Freshman Second Year / Sophomore Third Year / Junior Fourth Year / Senior Fifth Year / Super-senior Masters Student Other (please specify) Question Title * 9. Date of Birth Question Title * 10. What is your preferred gender identity? Male Female Other Question Title * 11. Have you attended previous Sullivan programming before? Yes - Ignite Retreat Yes - Summer Programs Yes - Field Trip No Question Title * 12. Why are you interested - and uniquely qualified - in participating in the Sullivan Selma Internship? Question Title * 13. How do you anticipate this program will support your personal growth and desire to help communities? Question Title * 14. Which of the two programs (1 - 'New Possibilities' Youth Program; 2 - Nutrition + Food Program) are you interested in supporting during the internship, and why? Submit Response!