CSED Fellow Application

Name *

First and last name

BYU ID # *

Email *

Phone number *

Birth Date *

YYYY

Country of Citizenship *

Cumulative GPA *

Please list the grades you received in these classes if you have taken them: POLI 200

POLI 328

Please list any other 300-level POLI classes you have taken and the grades you received.

Year in school *

Sophomore

Junior

Senior

1st year Grad

2nd year Grad

Anticipated graduation from BYU *

YYYY

Major: *

Minor:

Please provide details about semesters you anticipate being away from Provo between now and graduation (semester abroad, internships, summer employment, etc.) *

Please list a BYU faculty reference

Are you currently in good Honors Code and Academic Standing with the university *

Yes

If no, please explain.

Are you currently employed as a teaching or research assistant? If yes, please list professor, department, and responsibilities.

Have you previously been employed as a teaching or research assistant? If yes, please list professor, department, when employed, and responsibilities.

Please submit a current resume, your most recent transcript (unofficial is fine), and a writing sample (absolutely no longer than 25 pages). *

Required

I certify that the above information is correct. *

Yes

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