Entrepreneurship for the Public Good

Online Application

ENTREPRENEURSHIP FOR THE PUBLIC GOOD

Summer Program Application
Summer Institute 2014 & Summer Internship 2015
Application Deadline: Monday, November 20, 2013 (5:00 p.m.)

Fields marked with an * are required to complete the form.

Name:*

Classification:*

CPO#*:

If you are living off-campus, please give your address:

Cell Phone #:

Campus E-Mail:*

Permanent Home Address:*

,

Major/Minor:

Anticipated Graduation Date:

Current GPA*:

Academic Advisor*:

Labor Position:

Are you a Bonner Scholar?

Are you a part of the Emerging Scholar Program?:

Campus Extracurricular Activities (clubs, student government, etc.)

Have you completed the Writing Competency Requirement and the Developmental Mathematics Requirement?*:

Are you currently on any kind of probation at Berea College? (check all that apply)  Academic Labor Social None

The EPG Program requires a two year commitment, each candidate will complete the Summer Institute during the 1st summer and a Directed Field Experience/Internship during the 2nd summer. Can you make this commitment?*

If no, please explain:

Do you have any special concerns about your ability to participate in the EPG Summer programs?

Please limit your answers to the following 3 questions to 300 words each. You may want to compose your response in a Word document and copy it over.

Tell us about a social entrepreneur that you most identify with and why:*

Thinking back over the last 3 years, tell us about a time when you were performing at your best (a time when you felt happy, fulfilled and successful.)*

What do you expect to gain from the EPG program and how will you apply that to your future goals?*

References

Please fill out the information for your on-campus references below. This form will send them an automated email asking them to complete a recommendation for you. Be sure to ask them for permission to list them as a reference prior to doing so.

Referrer #1:
Title:
Name:*
E-mail:*

Referrer #2:
Title:
Name:*
E-mail:*

If you have questions you can call 985-3554 or e-mail us at epg@berea.edu. You may also stop by the EPG offices on the third floor of Stephenson Hall (formerly the Bruce-Trades Building).

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