2021 Summer Fellowship Application - Mikva Challenge DC
Thank you for your interest in applying to intern with a local elected official or a community based advocacy organization through Mikva Challenge's Summer Fellow program this summer!

Please read each question closely and carefully and complete this application thoroughly. The new deadline to submit this application is Thursday, April 22nd.

We will reach out to you to schedule and conduct a 30 minute interview on either April 23rd or Monday, April 26th.

For more information about the Summer Fellows program, you may find the flyer here:

**IMPORTANT: You must already be fully registered with SYEP to be eligible for Mikva's summer fellowship.**  
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Email *
Name *
Date of Birth *
(MM/DD/YYYY)
Grade (as of April 2021) *
Required
School *
Home Address *
Which DC Ward do you live in? *
Cell phone *
Home phone *
Emergency Contact Name *
Emergency Contact Number *
Email Address *
What is the best way to contact you? *
Gender *
Race/Ethnicity *
How did you learn about Mikva Challenge DC? Have you been involved with any other Mikva DC programs?  If so, which ones? *
(If it was a teacher, what is their name?)
Are you available to work from June 29th-August 7th, uninterrupted? *
(If no, please explain)
Have you already completed your MBSYEP application? *
Please check the answer that best applies to you *
Yes
No
I have experience working with Microsoft Word
I have experience working with Microsoft Excel
I have experience using social media (Facebook, Twitter, etc.)
I feel comfortable speaking in public
Are you bilingual? *
(If you are, what language(s) do you speak?)
Have you had a job before? *
(If yes, where? What were your main responsibilities?)
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