William Wilberforce Fellowship
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2018-2019 Application
Full Legal Name *
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Mailing address *
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Phone *
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email *
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Birth Date *
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School *
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State your school is in *
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Name of Regional Coordinator *
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Grad. Year *
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Are you a member of a pro-life group at your school? *
Are you currently an officer or leader in that group? If yes, what is your position? *
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Will you be an officer or leader in your group throughout the entire 2018-2019 school year? *
How did you hear about Wilberforce Fellowship *
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Please explain why you are pro-life *
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Describe how you became involved with the pro-life movement: *
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Please describe events and activities your pro-life club has hosted this past year and how you have contributed to them: *
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Have you attended other pro-life conferences or trainings? If so, describe your experience: *
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Are you involved with other pro-life organizations? If so, what is your involvement? *
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What current pro-life leader would you like to have as a mentor and why? *
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What do you hope to gain from the Wilberforce Fellowship? *
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What is a fun fact about you? *
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