LYF Application- C2025

Georgia State Leap Year Fellow Application

Please complete this form to apply to the GSU Leap Year Fellowship. Learn more about the program at www.leapyearfellows.org.
Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Date
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What High School do you attend?*
Which district is your high school?*

Atlanta Public SchoolsDekalb Public SchoolsFulton Public SchoolsOther
What year will/did you graduate from high school?*

Class of 2022Class of 2023Class of 2024Class of 2025
What is your GPA?*
Did you participate in an IEP program in high school?*

YesNo
Please provide information about your IEP Program
Which of the following aligns best with your goals after graduation?*

I'm not interested in going to college, I want to join the workforce.Trade Certificate (1-year diploma ex. cosmetic, electrical, hair, automotive, etc.)Associates Degree (2-year degree ex. GSU Decatur, Atlanta Metro, etc.)Bachelor's Degree (4-year degree ex. GSU Downtown, Clark Atlanta, etc.)I am unsure about going to college (I am not committed to college, I have an interest in college and would like to try it out, etc)
Please explain why you are unsure about college. (Financial reasons, overwhelmed by college admission process, lack of support from family, etc.)*
Have you applied to or been accepted into Georgia State University?*

Not yet applied to GSUApplied to GSU but not yet acceptedAccepted into GSU PerimeterAccepted into GSU Downtown
Have you taken college level English 1101 for credit?*

YesNo
Please list all the college classes you have taken for credit below.*
Have you completed FAFSA?*

YesNo
Are you a US citizen?*

YesNoOther
How do you identify?*

FemaleMaleNonbinaryOther
How do you identify?*

Black/African AmericanLatinx/HispanicAsianNative AmericanWhiteOther
Are you a first-generation college student (ie neither of your parents completed a bachelor's degree)?*

YesNo
Have you or your family participated in any of the below programs in the last three years?*

SNAP/Food StampsFree and Reduced LunchSection 8Social Security DisabilityMedicaidNone of the above
Are you a parent?*

YesNo
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. *
Email Address:*
example@example.com
Cell Phone Number*
Please enter a valid phone number.
IMPORTANT: Last step to joining Leap Year is a virtual Zoom interview. The Zoom link will be EMAILED to you later this week. Be sure to check your Spam folder just in case. Is the email address you provided above your correct email address?*

Yes, and I will check my email for the interview link next week
Did you participate in any of the following programs?*

Next Generation Men/WomenCollege AIMOneGoalCommunities in SchoolBoys and Girls ClubBig Brothers Big SistersNone of the above
How did you hear about Leap Year? *
If you heard about us from your counselor, what's their name?
Do you have any questions about the Georgia State University Leap Year Fellow program?
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Georgia State Leap Year Fellow Application