FELLOW INTEREST FORM

First name

Last name

Phone

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Please select the statement that best describes you:

I am currently enrolled as a full time student at a university

I am currently enrolled as a part time student at a university.

I am not currently enrolled at a university.

I am not currently enrolled at a university but plan to be within the next 6 months.

What university do you currently attend? (if you are not currently enrolled, type “n/a”)

If selected to participate in the 2024 fellowship program, which city would you prefer?

New Orleans

Baton Rouge

Why are you interested in applying for the BE2T Fellowship?

What do you hope to gain from being a part of the BE2T Fellowship program?

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.