Urban Fellow Application

Applications are accepted throughout the year on a rolling basis.

Name *
Name
Home Address *
Home Address
Home Phone *
Home Phone
If you don't have one, put zeros in.
Cell Phone *
Cell Phone
If you don't have one, put zeros in.
How did you find out about this application? A teacher, a friend, guidance counselor, newspaper, Facebook, email list, other?
Which session(s) are you interested in applying to? *
We run four 4 to 6-week sessions per year - please choose the preferred session(s) you want to apply for.
Which group(s) are you available to participate in? *
Sessions run two days a week. Please choose the preferred session days that you would like to attend. If you have no preference and can attend either the Mon/Wed group or the Tues/Thu group, choose both.
Which program track(s) are you interested in?
Please choose the preferred program track that you would like to attend. If you have no preference, choose both.
Example: Spanish club on Tuesdays from 3 pm to 4 pm.
How familiar are you with Groundwork Bridgeport? *
How concerned are you about the physical environment in Bridgeport? *
Provide an example of a project related to improving Bridgeport's physical environment that you would like to work on? *