ALUMNI FELLOW INTEREST FORM

ALUMNI FELLOWSHIP INTEREST FORM

First name

Last name

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Please select the statement that best describes you:

I am a previous New Orleans BE2T Fellow.

I am a previous Baton Rouge BE2T Fellow

I am a previous BE2T employee.

Please explain your previous involvement with Brothers Empowered to Teach. To the best of your ability, include dates, location, school placement, etc.

Please select the statement that best describes you (select all that apply):

I am currently enrolled as a student in an undergraduate program at university.

I am currently enrolled as a student in a graduate program at a university.

I am currently a full time employee.

I am currently a part time employee.

Other:______________

Please provide details regarding your above selection:

What do you hope to gain from being a part of the 2023 Alumni Fellowship program?

How do you plan to use the knowledge and skills gained from this fellowship program to create positive change in your community?

Name your top three musicians.

What album or song has been the most influential to your life? Why?

Thank you! We’ll be in touch.