Maggie Gover Fellowship Application

Permanent Address: *

City: *

State: *

Zip: *

School Address:

City:

State:

Zip:

Until what date will your School address be accurate? (mm/dd/yy):

Home Phone: *

Cell Phone:

E-Mail Address: *

Date of Birth (mm/dd/yy):

I am a legal resident and allowed to work in the U.S. *YesNo

Education Information - School: *

School City:

School State:

Expected Date of Graduation (mm/yy): *

Major: *

Minor: *

Cumulative GPA: *

Out of: *

Essay Question #1: *
Please take time to answer the following questions in detail. Your responses should be approximately 250 words. If you are faxing or mailing this application, please label and attach your responses to the end of this application.

We are looking for people who have demonstrated a commitment to building the political power of Indians by electing them to public office. Use this space to highlight in detail your commitment to such values. (Feel free to talk about leadership experience with campus or community organizations, prior internship or work experience, personal and/or political beliefs, and/or previous campaign or political experience.

Essay Question #2: *
The Maggie Gover Fellowship memorializes an outstanding public servant committed as a lifelong social activist for Native Americans. What are your core values and how will you commit to them in service in your future career?

What do you hope to get out of this program?: *

How did you hear about our organization?: *

Have you ever volunteered or worked on a campaign?
If yes, briefly describe your experience:

Applicant Signature: *

Date (mm/dd/yy): *

Maggie Gover Fellowship Application

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