What's Next Pine Bluff Fellowship Application
Apply to be a WNPB Fellow
About You
What is your full name? (First, Last) *
Your answer
What school do you go to? *
Your answer
What grade are you in? *
Your answer
What is your cell phone number? *
Your answer
List a Parent/Guardian and their cell phone number *
Your answer
How did you hear about this opportunity? *
Your answer
About WNPB
Longer Answers
What can WNPB help you with? (Check all that apply) *
Required
What leadership/life skill classes are you interested in? (Check all that apply) *
Required
Our programs run from 3:35pm-5:00pm Mondays-Thursdays. Will you have a ride home after our programs? *
On a typical day, describe what you do after school? (List all sports, jobs, clubs, and church activities) *
Your answer
What do you see yourself doing after you graduate High School? How can WNPB help you with this? *
Your answer
Where do you see yourself in 5 years? How will your plans be helping people in Pine Bluff? *
Your answer
Our program will require a commitment of 3 hours per week and Fellows MUST attend every session they commit to. Describe a time when you have taken on a big commitment at home, school, or another capacity and shown yourself to be reliable. *
Your answer
References
List at least 3 Professional References (Examples: Teacher, Coach, Mentor, Pastor)
Reference #1 *
Your answer
Reference #2 *
Your answer
Reference #3 *
Your answer
Your Schedule
Fill in your classes below
Who is your 1st period teacher? *
Your answer
Who is your 2nd period teacher? *
Your answer
Who is your 3rd period teacher? *
Your answer
Who is your 4th period teacher? *
Your answer
Who is your 5th period teacher? *
Your answer
Who is your 6th period teacher? *
Your answer
Who is your 7th period teacher? *
Your answer
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