BBC - Fellows Student Application
Please visit for more information about current projects. Please complete this form in its entirety. Your information will be forwarded to the faculty mentor in charge of the project.

Items with an * indicate a required field.
Contact Information
BSU ID Number *
First Name *
Middle Initial
Last Name *
Address Line 1 *
Address Line 2
City *
State *
Zip *
Country *
Phone *
Primary Email *
Secondary Email
Emergency Contact Name: *
Emergency Contact Phone: *
Emergency Contact Relationship: *
Are you currently working on campus as...
Part-time Student Employee? *  Yes
Graduate Assistant? *  Yes
Semester Applying For
Semester *
Year *
Preferred Projects *
Academic Information
Class Level *
Major and Minor(s) *
G.P.A. *
Certifications and/or Continuing Education
Work Experience
Please list any relevant work experience here. *
Why do you want to be involved in an immersive learning project? *
Please list all software applications at which you are proficient. Feel free to expand on your experience with media or technology. *
How did you hear about BBC Fellows? *