InspiHER Interest Application Form

InspiHER Interest Application Form

Please submit application before October 31st 11:59pm
General Information
Name*

First NameLast Name
Email*
example@example.com
Hampton ID Number*
Ex. 00123456
Date of Birth*

MonthDayYear
Date
Academic Information
Major*
Classification*
GPA
Example: 3.8
Academic Achievements*
Civic & Extracurricular Involvement: Volunteer work, leadership roles, student organizations*
Video Submission
Applicants must submit a 2-3 minute video. In the video, applicants should answer the following questions:
Introduction
Why InspiHER?
Personal Connection
Future Goals
How InspiHER Will Benefit You
How You Can Contribute to the Growth of the Cohort, Program, and University Community through InspiHER
Closing [Final tagline: “I own my journey to InspiHER [Insert Word]
Provide link to video here:*
Example: https://www.youtube.com/watch?v=5umkSxV6_m8
Should be Empty:

General Information