Fellows Application — Beatrice Institute

Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Number

University / College

Major / Minor

Expected Year of Graduation

Religious Affiliation

Church Community

If you are involved in a local church, which one?

Campus Ministry

If you are involved in campus ministry, which one?

Introduction

Please write a paragraph telling us why you are interested in joining the Fellows community, how you heard of us and whether you will be committed to participating fully in the activities of the community, including at least five events per semester.

Beatrice Institute is supported in part by Henne Jewelers and The Pittsburgh Foundation.