RSJI Student Leadership Award Application
This is the application form for the 2019 - 2020 Race and Student Justice Initiative's Student Leadership Award. Proposals should be sent to the following e-mail address: rsjistudentleadershipaward@gmail.com.
Email address *
Last Name *
Your answer
First Name *
Your answer
Date of Birth (mm/dd/yyyy) *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Permanent Address *
Your answer
Name of College or University *
Your answer
College of Charleston Student ID Number (if applicable)
Your answer
Year of Study *
Program of Study (i.e. Master of Public Health) *
Your answer
A copy of your responses will be emailed to the address you provided.
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