ADAC Fellows Application
In order to be considered for an ADAC Fellowship, please fully complete and submit this application form. Student information shared via this application will be treated in compliance with the Family Educational Rights and Privacy Act (FERPA).

Applications are reviewed by committee, in a process similar to job applications. Applicants will be notified of their status following review via email.

First Name
Your answer
Last Name
Your answer
If you are a student in the UA system, your student ID number
Your answer
Mailing Address
Your answer
Address 2
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Phone Number
Your answer
Email Address
Your answer
Citizenship
Background Check
Date of Birth
Your answer
I am a(an)
What university are you currently attending?
Your answer
What is your current degree program/major?
Your answer
What year/month do you expect to complete your degree?
Your answer
What is your current cumulative Grade Point Average?
Your answer
Who is your current academic advisor of record?
Your answer
Under the University of Alaska Board of Regents' policy and the Alaska Ethics Statutes, do you have any conflicts of interest that need to be disclosed? See: http://www.alaska.edu/bor/policy/04-10.pdf https://www.alaska.edu/hr/forms/hr_ethicsforms
Explain your interest in becoming an ADAC Fellow:
Your answer
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