PBHA's Priscilla Chan Stride Service Scholars Program Postgraduate Fellowship Letter of Intent to Apply

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Please read carefully about the application process:

Submitting a Letter of Intent will open your application for review and completion. Due date for submission is on March 8, 2023 at 5pm.
The references you list on the next page will receive an email with instructions about how to submit their letter of reference for you. Please ask/inform them before submitting this Letter of Intent.
You will receive instructions after completing this form about how to proceed with the full application submission, including uploads and hard copies of required materials.

About you and your project

Please give a brief synopsis of your proposal (4-6 sentences max)

Please give a brief description of how this fellowship proposal fits with your current thoughts about postgraduate career, life, and education plans (you will not be held to this)

About finding the Fellowship

List any other scholarships, fellowships or grants for which you have applied or plan to apply to for this project. (You are required to report any duplication of funding.)

I heard about my program this year because of (check all that apply):

About you

First Name

Last Name

Nickname (if applicable)

Mobile (or primary) Phone

Which email do you prefer?

PersonalCollege/Work

Personal Email Address

College Email Address

Your personal email should be a way to reach you after graduation. Your college email address will be used for completing your application.

Ethnicity/Nationality

Gender identity

Gender: Write in my own

(e.g. she/her/hers, they/them/theirs, he/him/his...)

Birthday: MM/DD/YY (used to uniquely identify you in this application process)

College/University information

College/University

House Affiliation

Concentration/Major(s)

College Address

College Street Address

College City

College State

College Zip

Home/Permanent Address

Home Street Address

Home City

Home State

Home Zip

Country

References

These references will be automatically emailed with a link to upload your recommendation from the address pbha@pbha.org. Please ensure you have informed them of your request for a recommendation letter. 2 letters are required.

Reference 1 - Public Service

Reference 1 First Name

Reference 1 Last Name

Reference 1 Email address

Reference 1 Phone

Reference 1 Relationship to you (e.g. supervisor, mentee, etc.)

Reference 2 - Academic/House

Reference 2 First Name

Reference 2 Last Name

Reference 2 Email address

Reference 2 Phone

Reference 2 Relationship to you (e.g. supervisor, mentee, etc.)

Press submit below

You will receive a confirmation email that your information has been recorded successfully and with further instructions about completing the application submission process.

(It may take a few seconds to submit).

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