Global Citizen Ambassadors Fellowship Application

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The following application is for those who are interested in applying for the Global Citizen Ambassador Fellowship. This fellowship is seeking to nurture an environment that raises up leaders from diverse backgrounds to foster unified neighborhoods rich in culture and connectedness through learning, listening and leading. Space is very limited, and applications will be vigilantly reviewed. We look forward to welcoming an excellent, diverse, collaborative group of individuals to participate in these crucial conversations, journey and future action opportunities.

 

Application Deadline: Wednesday, July 11, 2018

Fellowship Dates: July 16 - August 12, 2018

For more information on the fellowship, click here. For more information on August Great Exchange Journey that is a part of the fellowship, click here

CONTACT/PERSONAL INFORMATION
Name *
Name
Date of Birth *
Date of Birth
Last Completed Grade/Year of School *
Completed Grades 9-12 and first year of college eligible to apply // Leaders interested in applying must be 21 years of age or older (waiting list only)
Home/Street Address *
Home/Street Address
RACIAL/ETHNIC LINEAGE
My personal racial/ethnic background can best be described as: *
If bi-racial or multi-ethnic, select all that apply // If unknown, select your best guess
I am ______ of my family living in the United States
Select for the lineage of your family you most identify with if it varies
FELLOWSHIP INTEREST
FELLOWSHIP EXPENSE AND SCHOLARSHIPS
The actual cost of the fellowship to Hopeprint is $750/person, including all learning materials, food costs, travel expenses and required venue tickets. We absolutely do not want money to be the reason you do not participate. Please select which of the following best describe your ability to pay. *
Based on your response, complete the corresponding question(s) below.
How much could you pay each month towards the complete balance? How much are you prepared to put forward if accepted?
Hopeprint has limited funds to help offset costs. Why do you believe that you should be should be someone who receives them?
Are you attending summer classes? Do you have another job? Other responsibilities? What is your availability this summer to work?
We define equity as "giving the most to those who need the most, or who could stand to gain the most." How would you submit that you need the most or could stand to gain the most from this fellowship? Is there anything that prevents you from the work study opportunity?
RELEASES AND AGREEMENTS
By clicking the following, I an stating that I understand and agree to each statement. *
Parent/Guardian Phone Number:
Parent/Guardian Phone Number:
Please type to serve as agreement to the above
REFERENCES
Please list the name, phone number and/or e-mail of a reference who is not related to you who can speak to your character
Please list the name, phone number and/or e-mail of a reference who is not related to you who can speak to your character