CCJ Media Changemaker Scholarship & Couric Fellowship Application (2019)
We are thrilled that you are interested in the Center for Collaborative Journalism and our Media Changemaker Scholarship competition. Media Changemaker Scholars receive generous four-year scholarships to Mercer (up to full-tuition) as well as access to competitive paid summer internships at media companies throughout the country.

Media Changemaker Scholars will be selected in February following the CCJ Media Changemaker Competition on Saturday, January 26, 2019.

To compete for the Changemaker scholarship, you must complete this form by January 14, 2019. Applicants should also apply to Mercer University by those dates. Candidates are strongly encouraged to attend the Changemaker event and complete an interview with CCJ faculty and staff.

For more information, visit http://ccj.mercer.edu.

First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip
Your answer
Email *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
High School Name *
Your answer
High School City *
Your answer
High School State *
2-letter abbreviation
Your answer
Date of Birth
mm/dd/yyyy
Your answer
What area are you interested in for a major? *
Include potential second major or minor areas in "Other."
Required
Media Sample Links (Optional but highly encouraged)
Submit links to samples of your best work in media. We must be able to access this work online (on a blog, YouTube, SoundCloud, student or professional news website, GitHub, etc.). This work can be anything that shows your writing, broadcasting, multimedia and/or digital skills.
Your answer
Short essay *
Tell us about a specific incident or issue that has inspired you to want to study journalism or media. (Limit: 650 words)
Your answer
SAT Scores
Your answer
ACT Scores
Your answer
GPA
Indicate scale (e.g., 3.8 on a 4.0 scale)
Your answer
Have you already applied for admission to Mercer University? *
Will you be able to attend the Changemaker event and in-person interview on January 26? *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms