DC Student Leadership Summer Application 2010

Please fill out the following application. Brevity is encouraged.

First Name : *

Last Name: *

Email: *

Phone Number: *

School, Major/Minor, & Anticipated Year of Graduation: *

City/Town and State your school is located: *

Please list your extracurricular activities (student government, cultural organizations, political groups, etc.): *

Describe your role in these extracurricular activities (Do you have a role or title? How many hours a week do you contribute?): *

How many friends (Facebook) and/or followers and followees (Twitter) do you have?:

On a scale of 1 to 5, with 1 being very inactive and 5 being very active, how active are you on Facebook/Twitter?:

Active = Posting Content, Interacting, etc.

Do you have a blog or website? If yes, what’s the URL?:

Where do you get your news and/or commentary? Please list any channel and program names and URLs: *

Although not necessary to be selected for the Global Zero Student Leadership Summer, please list any background you have in nuclear non-proliferation studies :

i.e. any books you have read, any classes you have taken, etc.

Why do you want to participate in Global Zero’s Student Leadership Summer?: *

What music/books have you been enjoying recently?:

Pretend you’re sending a message to all of your friends on Facebook, asking them to join Global Zero. : *

Share your message with us here. Make it formal or make it personal – whatever you think would get your friends to sign up!

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