2018 National Fellowship Program for Asian American Organizing & Civic Engagement
Thank you for applying to the National Fellowship Program for Asian American Organizing & Civic Engagement, a program of Seeding Change - A Center for Asian American Movement Building. www.seeding-change.org. If you have any questions, please contact apply@seeding-change.org.

Once you've completed your application, you will receive an email with your responses.

Email address *
1. Contact Information
First Name *
Your answer
Last Name *
Your answer
Preferred name (if any)
Your answer
Phone *
Please use this format 555-555-5555
Your answer
Email Address *
Your answer
2. Current Mailing Address
Address (Mailing) *
Your answer
City (Mailing) *
Your answer
State (Mailing) *
Your answer
Zip Code (Mailing) *
Your answer
3. Permanent Address (if different)
Address (Permanent)
Your answer
City (Permanent)
Your answer
State (Permanent)
Your answer
Zip Code (Permanent)
Your answer
4. Demographic Information
Ethnicity *
Your answer
Self Identified Gender *
Your answer
Gender Pronoun *
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Sexual Orientation *
Your answer
5. Availability. *
Please review the FAQ regarding the cohort dates. All fellows will be required to participate in the orientation and closing retreats. All fellows must participate in the orientation from June 17-23. Fellows in Cohort 1 will start at host sites on June 4. Cohort 2 will start at their host sites on June 25th. The closing retreat will be August 12-16th.
6. Do you have a valid driver's license? *
Note: It is not a requirement.
7. Do you speak languages other than English? Please rate your ability in each language *
(i.e. understand, speak, read, write). Some organizations who need language capacity may conduct language assessment as a part of the interview process. Example:Spanish: fluent in reading, writing, and speaking. Cantonese: conversational speaking only.
Your answer
8. Academic Information (if applicable)
School Name
Your answer
Major/Degree
Your answer
Expected/Actual Graduation Date
Your answer
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