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Buckley Fellow Application
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* Indicates required question
Full Name
*
Your answer
Class Year
*
Your answer
College
*
Choose
Berkeley
Branford
Calhoun
Davenport
Ezra Stiles
Jonathan Edwards
Morse
Pierson
Saybrook
Silliman
Timothy Dwight
Trumbull
Other
(Prospective) Major
*
Your answer
Mailing Address
Your answer
City
Your answer
State
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ZIP
Your answer
E-mail Address
*
Your answer
Phone Number
Your answer
Why do you want to be a part of the Buckley Program?
*
150 words max.
Your answer
What can you bring to the Buckley Program and its mission?
*
150 words max.
Your answer
What is your political philosophy? Why?
*
150 words max.
Your answer
What is your favorite book?
Your answer
Who is your favorite columnist?
Your answer
Who is your favorite American President?
Your answer
In which of the following would you most like to contribute?
*
Choose as many as you like.
Speaker Series
Publicity
Social Events
Community Service
Operations/Non-Speaker Programs
Other:
Required
How did you hear of the Buckley Program?
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Signature
*
Your printed full name constitutes a signature.
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Date
*
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