EmersonFellowship

StandWithUs eNewsletter

Fellows Application

To become an Emerson Fellow please apply by entering the following information:

BOLD FIELDS REQUIRED!

Contact Information

First Name:

Last Name:

University or College:

Incoming Year:

	2nd Year
	3rd Year
	4th Year
	Grad Student

E-mail:

Mobile Phone:

e.g - 5555555555

Gender:

Questionnaire

Are you involved on campus with any club or organization?

	Yes
	No

If Yes, please list and detail your involvement and positions held - detail all campus group affiliations, positions with each group, and years involved - both current and previous - {e.g. Hillel, President, 2006-2007 ; LGBT, Member, 2006; Student Government, Treasurer, 2007; etc.}:

What changes would you like to see on your campus regarding ISRAEL( Education / Advocacy )? (Please detail in 2-3 sentences)

In what way do you see yourself involved with making or assisting to implement these changes (see 2)? (Please detail in 2-3 sentences)

How did you find out about The Emerson Fellowship?
Why did you decide to apply?

Please rate your knowledge of Israel’s history on a scale of 1(bad) - 10 (excellent):

Please rate your knowledge of the current situation in Israel on a scale of 1(bad) - 10 (excellent):

Please describe a program you hope to implement on your campus as an Emerson Fellow. Programs might include bringing a speaker of your choice, highlighting a certain aspect of Israel you'd like your community to know about, or even putting together a rally at your university. Describe the goal of your program, how you would get other organizations involved, how you would advertise your event and a brief description of how you envision the event taking place. Be as creative and detailed as possible!

Have you worked with StandWithUs in the past? If yes, please detail in what capacity you have worked with our organization.

Reference

Please list 2 References (i.e. Campus Professionals, etc.) - including E-Mail and contact numbers:

Reference 1

Name:

E-mail:

Phone:

e.g - 5555555555

Position:

Reference 2

Name:

E-mail:

Phone:

e.g - 5555555555

Position:

By clicking the box below, you confirm your
ability to partake in the Emerson Fellowship.

I Agree!