NewComm FELLOWS Application

NewComm FELLOWS Application
Full Name*

First NameLast Name
Preferred Name
Gender*

MaleFemaleOther
Birth Date

MonthDayYear
Permanent Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Number*
Cell Number*
Age*
E-mail*
example@example.com
Are you authorized to work in the United States?*

YesNo
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number:*
Parent/Guardian E-mail*
example@example.com
Explain your interest in community work and social justice. What community issues are you passionate about and how have you been involved in addressing them? What kind of legacy would you like to leave behind?*

0/300

Short Essays

Please answer the following questions in 250-300 words each.
What are your school's strengths and challenges with student voice, learning, and engagement? *
Describe a time when you faced a significant challenge in your academic or personal life. How did you overcome it, and what did you learn from the experience?*

0/300
We are committed to investing in young BlPOC individuals to help them maximize their potential. Are there any key challenges you've encountered as a BIPOC individual and how have you addressed them?*

0/300
In what ways do you feel connected or disconnected from your school community? In what ways do you see yourself participating in this community to enhance your sense of belonging and support? *

0/300
In 2 minutes max, introduce yourself to the NewComm admissions team. You can just record this video on your phone. *

Cancelof

Recommendations

For your application, you need two letters of recommendation from individuals who can speak to your academic potential, leadership qualities, and commitment to community service. These can be teachers, school counselors, or community leaders. Please provide the names of the two people you will be providing these letters. You must ask these people first before supplying their names.
Recommender 1*

First NameLast Name
Relationship to you*
Their email address*
example@example.com
Their phone number*
Please enter a valid phone number.
Recommender 2*

First NameLast Name
Relationship to you*
Their email address*
example@example.com
Their phone number*
Please enter a valid phone number.

Commitment and Availability

Please review the following commitments and confirm your availability.
Are you able to commit to a two-year fellowship program, intensive summer programs weekly study groups, monthly social events, wellness initiatives?*
Are you available to participate in our overnight activities: our annual wellness retreat and our week-long college trip as part of the Year 2 program?*
Please describe any other commitments or responsibilities you have that might affect your participation in the program (e.g., part-time job, family responsibilities, extracurricular activities, other leadership programs). Please write N/A if this does not apply to you. *

Signature

By signing below, you confirm that the information provided in this application is accurate and complete to the best of your knowledge.
Signature

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Date

MonthDayYear
Date
What grade are you in?*
Should be Empty:

Education