Men Fellows Application

2017-2018

Applications are due by April 1, 2017. No applications will be accepted after that date. Keep in mind, however, that applications are reviewed on a rolling basis and preference will be given to applications received early. Applications will begin to be reviewed on February 1, 2017. Your complete application must be timely submitted to be considered. Decisions on applications for 2017-18 class hope to be finalized by April 30, 2017. If you have any general questions about the program or about your application, email us at pdxmenfellows@gmail.com

Part I: General Information
Name *
Name
Current Address *
Current Address
Permanent Address *
Permanent Address
Home Phone *
Home Phone
Cell Phone
Cell Phone
http://
Graduation Date
Graduation Date
Part II: Certification
Checkbox *
I certify that the information given on this application and in any other supporting documentation and resume is true and correct. I understand that any false information and/or willful or negligent failure to disclose any requested information will constitute sufficient grounds to terminate my involvement in the Fellows Program without notice.
Date of Certification
Date of Certification
Part iii: Getting To Know you
Part IV: Other Required Information
Please make sure the following are included in your application:

Please send a head shot, letters of recommendation, and resume to pdxmenfellows@gmail.com