Recruitment Form
Thank you for your interest in the Fellow position with the Vaccination Equity Education Coalition! Please fill out the below form
Name
*
First Name
Last Name
Email
*
example@example.com
What is your major?
*
What is your GPA? (4.0 scale)
*
Please upload your resume
*
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Please list your weekday availability. Please note you will be required to attend your module session on one Friday from 3:30pm-5:30pm at Boys & Girls Club Newark for your specific module if you are selected.
*
Please select any of the following days you do NOT have availability to attend a virtual (October 12th and November 3rd) and an in person (October 20th, 27th and November 10th, 17th) session from 3:30pm-5:30pm. If you can attend all of these sessions, please select "I confirm I can attend all the dates above." You will only be required to attend one virtual session and one in-person session to the Boys & Girls Club in Newark for one of these dates.
*
October 12th (virtual)
October 20th (in-person)
October 27th (in-person
November 2nd (virtual)
November 10th (in-person)
November 17th (in-person)
I confirm I can attend all the dates above
The dates below are absolutely mandatory for attendance from our fellows. If you cannot attend these dates, you may not be considered for the position. Please select the date(s) you cannot attend or select "I confirm I can attend all the dates above"
*
September 22nd 3:30pm-5pm
October 6th 3:30pm-5:30pm
I confirm I can attend all the dates above
Why should you be selected as a VEEC fellow?
*
Please upload a headshot that will be used for social media purposes if you are selected
*
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Please put the link for your LinkedIn
*
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