EXP's Young Fellows Program Application
Thank you for your interest in the EXP Young Fellows Program. Please fill out the form to the best of your abilities and an EXP staff member will get back to you regarding your placement in the program.

If you have any questions, please reach out to EXP Program Coordinator, Christian Douglas at Christian@expfuture.org
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First Name *
Last Name *
Your Email Address *
What is your date of birth? *
MM
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DD
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YYYY
How do you identify? (select all that apply) *
Required
What school do you attend? If your school is not listed below, please type the school in the "other" option. *
What pathway/SLC (small learning community) are you in? (Put N/A if not applicable) *
What is your grade level? *
What is your GPA? If you're unsure, take your best guess! *
What is YOUR phone number? *
What is your guardian's name? *
What is your guardian's phone number? *
What is your guardian's email? (Put N/A if not applicable)
Emergency Contact Name *
Emergency Contact Phone Number *
Why do you want to participate in EXP's Young Fellows program? *
What are your future career interests? *
What would you like to gain from EXP's Young Fellows program? *
Have you ever participated in the Young Fellows Program before? *
Have you ever participated in any EXP programs in the past or currently? Please indicate all below: *
Required
What is your t-shirt size? *
If you were referred to the program by another student, please list their name below: *
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