Frederick Douglass Scholars Fellowship Application

NOTE: Application may be submitted online via the form below. After submitting the application, send the following documents to Dr. Mindy Andino at mandino@bloomu.edu

A cover letter describing your research area(s), experience and qualifications
A curriculum vita
A copy of your graduate transcript. (This can be a copy of the official transcript)
A letter from your major or dissertation adviser regarding your qualifications for this program
A letter from at least two additional references regarding your experience and ability. (If you have teaching experience, letters should include relevant information.)

You are permitted to apply to more than one university, but you must send separate application materials to each school.

***Please Note that FDI Scholars Fellows may undergo a criminal background check as part of the selection/hiring process at each university.***

First Name

Middle Name

Last Name

Street Address

City

State

Phone

Do you have active status in a terminal degree program?

If you selected yes, please complete the following:

Program (MA, Ph.D) (Department)

University

City

State

Expected date of degree completion (Month/Year)

Please indicate your current situation

If you answered "other" above, please explain

Name of your major/program

Adviser

Adviser's mailing address

Adviser's phone number

Do your future plans include teaching in higher education?

Do you have college or university teaching experience?

If yes, please describe

As a teaching scholar, what undergraduate course(s) are you most interested in and/or best prepared to teach?

How did you learn about this fellowship?

Specifics about where you saw advertisement, posting or chose "Other"

Signature of Applicant