BBC - Fellows Student Application

Please visit www.bsu.edu/bbc/fellows for more information about current projects. Please complete this form in its entirety. This information will be used to select students for the BBC Fellows program and also serve as a Leadership Award scholarship application. 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 *
Gender
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 No
Graduate Assistant? *	Yes No

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. *

Would you like to be considered for a BBC leadership award if selected for a project team ($1,000 scholarship for project tuition)?

If you would like to be considered for a BBC Leadership Award, please make a statement about past leadership experience or key skills that you would bring to a BBC Fellows team. This information will be used to select recipients of the $1,000 scholarship.

How did you hear about BBC Fellows? *