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SLI APPLICATION
SERVANT LEADER
INTERN APPLICATION
First Name
Middle Name
Last Name
Date of Birth
Age
Home Street Address
Unit #
City
State
Zip code
Home
Cell Phone
Permanent Phone Number
Permanent Street Address (If different from above)
City
State
Zip code
Email
Alternate Email Address
Race/Ethnicity (check all that apply)
*
Required
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Asian
Black or African-American
Hispanic/ Latino
White
Other
Gender Identity:
*
Required
Female
Male
Non-Binary
Decline to state
Other
Preferred pronouns:
*
Required
She/Her
He/Him
They/Them
Decline to state
Other
How did you find out about this service opportunity?
Are you a Returning Servant Leader Intern?
*
Required
Yes
No
Were you enrolled in the CDF Freedom Schools Program as a student?
*
Required
Yes
No
Do you currently live or have you ever lived in the community where this CDF Freedom Schools site is located?
*
Required
Yes
No
If yes, how many summers have you served as a Servant Leader Intern in the CDF Freedom Schools program?
If yes, how many years did you attend CDF Schools Program as a student? Freedom Schools?
Are you a registered voter?
*
Required
Yes
No
Sponsor Organization
Site Name
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