C2026 LYF Application- 7.18.24

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.
Because the Leap Year Program is approaching capacity for the 2025 - 2026 Cohort, we will be accepting students on a rolling basis. All interviewed applicants will be considered for our waitlist and will be accepted as spots become available. If you have any questions, feel free to reach out to us!

Email: Recruiter@theleapyear.org, Phone: 404-491-9813/678-607-5449
Full Name*

First NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birth Date:*

MonthDayYear
Age:*
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?*
What high school do you attend?*
Which district is your high school?*

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

Class of 2021Class of 2022Class of 2023Class of 2024Class of 2025Other
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. *
Why do you want to be a LYF? Rank order from the main reason to the smallest reason:*
If you had another reason for joining not listed above, please specify:*
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)
Thank you for your interest in Leap Year! Unfortunately, Leap Year may not be a good fit for you as you have selected you are not interested in going to college or are interested in a trade certification program. All Leap Year Fellows are enrolled as Georgia State Perimeter College students. Leap Year is not a trade certification program.
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 or are you in the process of taking a college level English or Math course for credit? (i.e. English 1101, Math 1001, Math 1111, etc.)*

YesNo
Please list all the college classes you have taken or plan to take for credit below.*
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 (i.e. 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
Check all that apply to your situation:*

I am responsible for helping my family pay bills (ex rent, utilities, etc.).I am responsible to taking care of my siblings.Going to college is most important to me right now.Making money is most important to me right now.I have my own car.I think community service is important.
Do you currently live with:*

I live with my parent(s).I live with my grandparent(s).I live with other family members.I live with my friend(s).I do not have a steady place to live.Other
Are you a parent or expecting to have a child within the next 9 months ?*

YesNo
Sign-up for an Interview

In order to complete your application, you must attend a virtual interview. We will contact you to find a date and time that is most suitable for you. 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.
Are you doing an In-Person Interview today?*

YesNo
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 event (ex: College Fair)Info Session (ex: Classroom Presentation, Town Hall, etc.)FriendCounselorNonprofit (ex: NextGen Men/Women, Communities in School, College Advising Corp, CollegeAim, etc.)MentorSocial MediaClub/VolunteeringOther
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?
By submitting the Leap Year Application, you agree to receive text messages and emails from Leap Year.

You will have the option to opt-out or unsubscribe from the text messages and emails if you wish to do so.
Interested in the Leap Year Program?
Click here!
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Georgia State Leap Year Fellow Application - FINAL

Because the Leap Year Program is approaching capacity for the 2025 - 2026 Cohort, we will be accepting students on a rolling basis. All interviewed applicants will be considered for our waitlist and will be accepted as spots become available. If you have any questions, feel free to reach out to us!

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

By submitting the Leap Year Application, you agree to receive text messages and emails from Leap Year.

Interested in the Leap Year Program?