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The Fellowship Initiative: Program Registration
Program registration
Student Information
First Name
Middle Initial
Last Name
Student Email
Student Phone
Student Birthday
MM/DD/YYYY
Gender Identity
Male
Female
Genderqueer/Non-Binary
Prefer Not to Answer
Pronouns
He/Him/His
He/They
She/Her/Hers
She/They
They/Them/Theirs
Race/Ethnicity
(Please select all that apply)
American Indian/Alaskan Native
Asian
Black/African American
Hispanic/Latinx Non-Black
Native Hawaiian/Pacific Islander
Middle Eastern/North African
White
Other
Prefer Not to Answer
Other Race/Ethnicity
Languages Spoken
English
Spanish
Other
Other Language
How did you hear about TFI?
Please select...
TFI Staff
Current Fellow
Parent
School Staff
Social Media
Other
If Other, please tell us here:
School Information
School Student attends
Student's Current Grade
Please select...
Freshman
Sophomore
Junior
Senior
Other
School Staff Information
Who's Your Favorite School Staff?
Purpose:
To follow up with a trusted school staff member at your school about your application
First Name
Last Name
Email
Parent/Guardian Information
First Name
Last Name
Parent/Guardian Email
Optional
Parent/Guardian Phone
Do you want to add another family member?
Yes
No
Additional Family Member
First Name
Last Name
Phone (Mobile)
Email
Thank you for your interest in
The Fellowship Initiative
.
If you have questions, please contact
[email protected]
.