FINAL C2025 LYF Application- 10.31.23

Georgia State Leap Year Fellow Application - FINAL

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
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date*

MonthDayYear
Email Address:*
Cell Phone Number*
IMPORTANT: Please carefully enter your phone number- this is how we will communicate with you.
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
Thank you for your interest in Leap Year! Unfortunately, you don’t meet the requirements for this year as you have selected you are graduating next year. We would love for you to join us again next year. If you want to be notified when applications open next year, hit the submit button!
What is your GPA?*
If you don't know, just put what it was on your last report card.
Did you participate in an IEP program in high school? If you do not know what an IEP is than put "No".*

YesNo
Please provide information about your IEP Program
What do you plan to do after graduation?*

I'm not interested in going to college, I want to join the workforce.Trade Certificate (1-year diploma ex. plumbing, cosmetic, electrical, hair, auto, 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 interested in college and would like to try it out but I am not fully committed to college)
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
Sign-up for an Interview

In order to complete your application, you must attend a Zoom interview. Please select a time and date for when you would like to interview. IMPORTANT: The Zoom link will be EMAILED and TEXTED to you. Please make sure that you entered your correct phone number and email address and be on the lookout.
Please select a time for your Zoom Interview*
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?*

Tabling eventFriendCounselorNonprofitMentorSocial MediaOther
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?
Should be Empty:

Georgia State Leap Year Fellow Application - FINAL

Thank you for your interest in Leap Year! Unfortunately, you don’t meet the requirements for this year as you have selected you are graduating next year. We would love for you to join us again next year. If you want to be notified when applications open next year, hit the submit button!

Sign-up for an Interview