Urban Scholars Request and Project Descriptions

Urban Scholars Request and Project Descriptions

Please use this form to request an Urban Scholar and give details on your host organization

Organization Name*

Organization Email*

Organization Phone Number*

Phone

Host Site Address*

Put the address where the scholar(s) will be working.

Work Enviornment*

Select

I agree to host at least one Urban Scholar.*

Select

Number of Scholars Requesting*

Select

What project(s) do you have for your scholar(s)*

Please add position descriptions here*

Position Descriptions/Project Descriptions

Drag and drop files here or

Scholar's Supervisor Name*

Scholar's Supervisor Email*

Scholar's Supervisor Phone Number*

Phone

Submission Date

Send me a copy of my responses

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