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The Shaftesbury Fellowship Application
Please enable JavaScript in your browser to complete this form.
Name
*
First
Last
Permanent Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
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District of Columbia
Florida
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Maine
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Massachusetts
Michigan
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Mississippi
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Ohio
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Current Address (if different than permanent address)
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Email
*
Cell Phone
*
Date of Birth
*
Marital Status
*
Gender
*
Male
Female
Religious Tradition:
*
Are you currently enrolled in an undergraduate or graduate program?
Yes
No
Where
*
Are you planning to, or currently applying for a Ph.D. program?
Yes
No
Where
*
Education
Undergraduate School
*
Year of Completion
GPA
*
Major
*
Minor (if applicable)
Graduate School
Year of Completion
Program
Concentration
Additional Program (if any)
Year of Completion
Program
References
Please list two academic references. These references should be able to attest to your academic ability and work ethic.
Reference 1: Name
*
First
Last
School
Title
Email
*
Phone
*
Reference 2: Name
*
First
Last
School
Title
Email
*
Phone
*
Required Application Materials
Cover Letter
*
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Sample of Academic Work
*
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Transcript
*
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Writing Sample - Your project sample should be relevant to your current or aspired field of study or work, or your special skills. (.pdf,.doc,.docx)
Essay 1
*
Click or drag a file to this area to upload.
Which two thinkers or figures have had the greatest impact on your worldview? How were you first exposed to them and in what ways have they impacted your thinking?
Essay 2
*
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What are the last two books (in any genre) that you have read?
Essay 3
*
Click or drag a file to this area to upload.
Which two books have been the most formative for your worldview? How?
Recent test scores from GRE or equivalent exam
Submit