Fellows Student Information Request

First Name

Cohort

Second Major

If applicable

Other Certificates/Programs?

Please list what other Certificates/Programs

List any dietary restrictions

Please be specific

Last Name

First Major

Minor

If applicable

Do you have an internship for the current semester to report?

Please list all organizations that you are a part of and your positions within them.

Please list any honors or award you have received and the applicable semester

Anything else you are anticipating for the next semester student involvement wise?

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