2019 Eliot S. Berkley Award Application
Submitting this form is one of three steps in applying for the 2019 Berkley Award. Please be sure that all materials, including this form, your essay, and one letter of recommendation, are received no later than 5 p.m. on Friday, November 8, 2019. Complete instructions on applying for the Berkley Award are available at www.irckc.org.
Your First & Last Name *
Your answer
Your School *
Your answer
Your School's City and State *
Your answer
Your Current Grade Level *
Your E-mail Address *
Your answer
Your Phone Number *
Your answer
How did you hear about the Berkley Award? *
Is this the first time you've heard of the IRC? *
Your answer will not affect your eligibility for the Berkley Award.
Please list any previous participation in IRC programs or events.
Your answer will not affect your eligibility for the Berkley Award.
Your answer
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