Equity Education Junior Senior Scholar Internship Application -- Summer 2023

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Please complete this form no later than J, 2023.

Name (first name and last name) *

College Address: *

Home Address (street, town, and ZIP CODE) *

Cell Phone: (use this format xxx-xxx-xxxx) *

Preferred Email Address: *

Emergency Contact Name and Phone: (use this format for phone xxx-xxx-xxxx) *

Year in College in Fall of 2023 *

Frosh

Soph

Junior

Senior

Major and Your Minor (if you have one) or Endorsements (if you have any): *

What is your current cumulative GPA? *

ACT/SAT Score: *

Relevant Course Work (please list): *

Relevant Field or Volunteer Work (please list)

Relevant Employment Experience:

Special Talents:

Interests:

Special Accomplishments:

List 3 College References with Phone Contact Information (use this format for phone xxx-xxx-xxxx): *

HOUSING: Please indicate your need for housing in order to participate in this internship *

I will NOT need any housing because I live in the area

I will NOT need any housing because I will stay with family and friends in the area during the internship

I WILL NEED housing in order to participate in the internship

Please provide a well-written statement explaining why you would like to work with this program, and what makes you a good candidate to work with students to close the opportunity gap. Please discuss what you perceive to be the most pressing need in education in low performing and/ or high-poverty schools.
*

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