1. Personal & Academic Information
Full Name
First Name
Last Name
Your Email Address
example@example.com
College/University Name
Current Program (Major/Field of Study)
Year in School
Please Select
Freshman
Junior
Sophomore
Senior
Graduate Student
2. Background & Interest in AI
Have you had any prior experience with AI or tech-related tools or courses?
Why are you interested in joining the Mississippi AI Agency?
What excites you most about AI and innovation?
Describe a time when you explored something new or unfamiliar in technology, art, or leadership.
Describe a time when you explored something new or unfamiliar in technology, art, or leadership.
3. Program Fit & Commitment
This program requires active participation, curiosity, and commitment. Are you available to meet weekly from September - November 2025? Please list your availability.
What do you hope to gain from this experience?
How did you hear about the Mississippi AI Agency?
Instructor or Professor
Friend or Peer
Campus Organization
Email or Newsletter
Instagram / Social Media
Other
Optional: Resume & Media
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