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1 About MSU College of Education Urban Immersion Fellowship Application This process requires you to complete the entire application once you begin. Do you want to continue now? Recommender-info-ready We require a recommendation from a faculty member at Michigan State University, or someone who can best attest to your academic and/or professional readiness. PLEASE NOTE: Your recommender will receive an request to complete your recommendation. You will be notified, via , once this recommendation has been submitted. Your application is NOT complete until this recommendation is submitted. Do you have the recommender's information ready? Recommender-information Recommender's Contact Information First Name Last Name Re-enter Recommender Student Contact

2 Your Contact Information First Name Last Name PID MSU Local Phone Number Summer 2017 Residence Address (If you are international student, please use your U.S. address) Address Line 1 Address Line 2 City State Zip Code Preferred Phone Contact Academic Current Class Standing Freshman Sophomore Junior Senior Current Overall GPA College of Education Program Elementary Education Elementary Education / Child Development / Early Childhood Elementary w/ Special Education Secondary Education

3 Primary Teaching Major Additional Major (if applicable) Primary Teaching Minor Additional Minor(s) if applicable (te: for Windows PC users, you must hold the "Ctrl" key to select more than one additional minor. For MAC users, you must hold the "Command" key to select more than one additional minor.) Primary Teaching Major Integrated Science Language Arts Mathematics Social Studies Additional Major (if applicable) Integrated Science Language Arts Mathematics Social Studies

4 Minor(s) if applicable (te: for Windows PC users, you must hold the "Ctrl" key to select more than one additional minor. For MAC users, you must hold the "Command" key to select more than one additional minor.) Are you a graduate of a high school in the city of Detroit? If yes, from which school did you graduate? Are you a member of the Urban Educators Cohort Program (UECP)? Are you a member of the Global Educators Cohort Program (GECP)? Would you be willing and able to participate in the special opportunity and training for CDF Freedom Schools? We also offer a few placements at Racquetup Detroit. Racquetup Detroit is an out-of-school youth development program which uses the sport of squash, in combination with fitness, academic tutoring, community service, college exposure, summer opportunities, and mentoring. Would you be interested in being considered for placement at Racquetup Detroit? Essay

5 What has contributed to your interest in pursuing a career in urban education? Provide respond to the question (not to exceed 2000 characters): End of application You are at the end of this application. You can submit the application by clicking SUBMIT button, or use Review & Edit button to review your content. Once you submit, you will receive an confirming your successful submission of your scholarship application.