Synapse Chapter Founder Application 2019-2020
Thank you for your interest in founding a Synapse chapter!

Please review the Chapter Founder Applicant Guidelines using the link below before completing the application.

https://synapsenational.org/guidelines.html

Please do not apply if your university already has an existing Synapse chapter; contact us at synapsenational@gmail.com if you would like to become involved with your existing chapter. The following universities already have Synapse chapters: MIT, Stanford, University of Washington, Oregon State, UCLA, Emory, Mercer, Virginia Tech, University of Virginia, Pitt, UPenn, Cornell, Amherst, Harvard, Brown and Columbia. More info: https://synapsenational.org/active-chapters.html
Email address *
Part I. Applicant Info
Name *
Your answer
Email *
Your answer
Phone number *
Your answer
Anticipated Year of Graduation (e.g. 2021) *
Your answer
Gender *
University *
Your answer
University Location (City, State) *
Your answer
Major or Area of Study *
Your answer
University Contacts (potential faculty and/or staff advisors)
Your answer
Are you planning to study abroad or otherwise be off campus for an extended period of time in the 2019-2020 academic year? (note: this does not include breaks) *
How did you hear about Synapse? *
Required
Part II. Short Essays
250 word maximum per question
What drives your interest in public service? *
Your answer
What experience do you have working with vulnerable or underserved populations? *
Your answer
How have past experiences shaped you as a leader? What skills and qualities have you developed that will influence how you lead a Synapse Chapter? *
Your answer
What existing resources for individuals with brain injury are available in your local area? What barriers do you foresee encountering if you were to develop a Synapse Chapter in your community? *
Your answer
Please describe in your own words what a Synapse Chapter does. *
Your answer
Is there anything else you'd like to share with us? Do you have any questions or comments?
Your answer
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