Meridian Freedom Project - Freedom Fellow Referral
Please use this form to share as much information as you can about the prospective Freedom Fellow you would like to refer. If there is a question with a red asterisk that you don't have an answer to, that's fine! Simply indicate that you don't know and we'll follow up using the contact information you provide below to see what we can figure out. Thank you for your support and interest in the Freedom Project!
Student's Name *
Your answer
Your Name *
(Person completing referral)
Your answer
Relationship to Student *
How do you know the student you are referring to the Freedom Project?
Your answer
Student's Current Grade *
What grade is this student in?
Your answer
Does this student attend a school in the Meridian Public School Sytem? *
To enroll as a Freedom Fellow, a student must be enrolled in the Meridian Public School System.
Which school does this student currently attend? *
Your answer
Which school will this student attend for the 2014-2015 school year?
Your answer
Contact Info
In the space below, please provide any contact information you would like to share with Freedom Project staff. This information is private to the Freedom Project and will be used only to contact you regarding the Freedom Project and next steps necessary for applying to be a Freedom Fellow. Please be sure to include names with phone numbers, email addresses, etc... and if appropriate, relationship to the student so we know who we are contacting. Thank you for your cooperation!
Your answer
What is the best way to reach this prospective Freedom Fellow and his or her parents or guardians?
If you've already shared the information necessary for contact above, thanks! If not, please take a moment and make sure we know how to get in touch with the right person and who that person is. Again, this information will remain private to Freedom Project staff.
Your answer
One last question - if you have a second!
If you have a second, please take a moment and tell us about this prospective Freedom Fellow? What makes you think he or she would be a great fit at the Freedom Project?
Your answer
Anything else?
Please let us know if there is anything else we need to know about you or this prospective Freedom Fellow.
Your answer
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