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Civic Action Fellow Interest Form
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* Indicates required question
Last name, First name
*
Your answer
Student ID #
*
Your answer
Major
*
Your answer
Please select an answer
*
Freshmen
Sophmore
Junior
Senior
Other:
Current GPA
*
Your answer
School Email Address
*
Your answer
Address (Please share your current physical address)
*
Your answer
Phone number
*
Your answer
Why is community engagement important to you?
*
Your answer
How do you plan to connect your community engagement with your academic goals and career development?
*
Your answer
Do you have any questions, concerns, or comments?
Your answer
Thank you for your interest. We will contact you to book an interview.
For more information, please email
civicfellows@csustan.edu
.
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