2019 Spring Bruce & Diane Mosier Fellowship
Thank you for your interest in the 2019 Spring Fellowship Program. The Harris County Democratic Party presents a Fellowship to commemorate Bruce & Diane Mosier for their dedication as a fierce defender of equal, civil, human and women's rights.

In order to be considered, please complete the form below.

CONTACT INFORMATION
First Name *
Last Name *
Date of Birth (response is optional)
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Mailing Address *
City, State, Zip Code *
Phone Number *
Email Address *
ADDITIONAL INFORMATION
Gender (response is optional)
Are you fluent in any languages other than English? If yes, please state the language.
Are you registered to vote? *
EMERGENCY CONTACT
First Name *
Last Name *
Phone Number *
Relationship *
APPLICATION
Resume *
Required
Why should we bring you in as a Fellow? *
REFERENCE
Please include 1 reference from prior work, volunteer or educational experience.
First Name *
Last Name *
Phone Number *
Relationship *
The Harris County Democratic Party is an equal opportunity employer and it is our policy to recruit, hire, train, promote and administer any and all personnel actions without regard to sex, race, age, color, creed, national origin, religion, economic status, sexual orientation, veteran status, gender identity or expression, ethnic identity or physical disability, or any other legally protected basis. Women and members of historically underrepresented groups are especially encouraged to apply.
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