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The Hess Center for Leadership and Service

Hess Center Fellows Program

Agency Application Form

Name of Organization:
Street address:
City: State: ZIP:
Phone: Fax:
E-mail: Website:
Agency Contact Person:
Phone: E-mail:

Agency’s Mission and Purpose:

Description of specific advocacy project for Hess Fellows (This description will allow students to match their interests and abilities with the organization’s advocacy project.  These internships must be directly related to advocacy.) :

Agency’s expectations of intern: (i.e. previous knowledge or experience, computer proficiency, presentations at staff meetings, etc.):

       
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