Black and Jewish Leaders of Tomorrow (BJLT) Leadership Forum Application
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1.
What is your name?
(Required.)
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2.
What are your pronouns?
(Required.)
They/Them
She/Her
He/Him
Prefer not to answer
Other (please specify)
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3.
What is your college or university?
(Required.)
Albany State University
Clark Atlanta University
Emory University
Fort Valley State University
Georgia State University
Georgia Tech
Kennesaw State University
Morehouse College
Savannah State University
Spelman College
University of Georgia
Other (please specify)
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4.
What is your racial/religious identity?
(Required.)
African American or Black
Jewish
Both
Other
5.
What is your major?
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6.
What is your current academic classification?
(Required.)
Sophomore
Junior
Other (please specify)
7.
What leadership experiences have you had in college, including the name of the organization or club and your role?
8.
Why are you interested in participating in the BJLT Leadership Forum?
9.
Please take this time to briefly tell us more about your Black or Jewish identity/experience.
10.
List any allergies or dietary restrictions you may have.
*
11.
Please provide your email and cell phone number.
(Required.)
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