The Fellowship Initiative

Initial Application

Your Information

LEGAL First Name

Middle Initial

LEGAL Last Name

Preferred First Name

Dedicated Candidate Email for Contact

Dedicated Candidate Phone for Contact

Gender Identity

Male	Female
Genderqueer/Non-Binary	Prefer Not to Answer

Race/Ethnicity (Please select all that apply)

American Indian/Alaskan Native	Asian
Black/African American	Hispanic/Latinx Non-Black
Native Hawaiian/Pacific Islander	White
Prefer Not to Answer

Languages Spoken

EnglishSpanishOther

Other Language

Freshman Year Grades

please upload a PDF or JPG screengrab of your freshman year grades

Current Overall GPA

Current Class Rank/Standing

Current Photo/Selfie

Please upload a recent image of yourself that clearly captures your face.

Parent/Guardian Information

First Name

MI

Last Name

Parent/Guardian Email

Parent/Guardian Phone

School Information

My Student ID Number

School Campus I attend

School District I attend

School Physical Address STREET

School City

School State

School Zip Code

Sophomore Counselor Information

Counselor First Name

Counselor Last Name

Counselor Email

Counselor Phone with extension

Athletics

Do you participate in school-based athletics?

Yes

No

Athletic Director First Name

Athletic Director Last Name

Athletic Director Email

Athletic Director Phone with extension

My College Aspirations

What are your current higher educational degree aspirations?
Select one

Associate Degree	Bachelor Degree
Master's Degree	Doctoral Degree
Juris Doctorate (Law Degree)	Medical Doctorate

What subject areas are you most excited about studying in college?
Select two

Architecture	Black Studies	Business	Creative Writing
Economics	Education	Engineering	Genetics
History	LatinX Studies	Law	Literature
Marketing	Mathematics	Medicine	Nutrition
Other	Philosophy	Physics	Politics
Robotics	Sociology	Urban Planning

Other area of study