Georgia State University Accepted Leap Year Fellow Application
If you have ALREADY been accepted into Georgia State University (GSU), please complete the form below to apply to be a GSU Leap Year Fellow. If you have not yet been accepted into GSU, please complete the other application form:
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Cell Phone Number
*
Upload a screenshot of your Georgia State University acceptance letter (either Downtown or Perimeter Campus)
*
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Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What high school do you attend?
*
Are you a US citizen?
*
Yes
No
Other
How do you identify?
*
Female
Male
Other
How do you identify?
*
Black/African American
Latinx/Hispanic
Asian
Native American
White
Other
Are you a first-generation college student (ie neither of your parents completed a bachelor's degree)?
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Yes
No
Have you or your family participated in any of the below programs in the last three years?
*
SNAP/Food Stamps
Free and Reduced Lunch
Section 8
Social Security Disability
Medicaid
None of the above
Have you already taken English 1101 at Georgia State University (or an introductory English class at any college or university)?
*
Yes
No
Why do you want to be a Leap Year Fellow? What do you hope to gain from the program? Be sure to write in complete sentences.
*
How did you hear about Leap Year?
*
Any questions about the Georgia State University Leap Year Fellow program?
Submit
Thank you!
After you submit, we will follow-up with more information and to schedule an interview.
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