The information collected in this form will only be used for the purpose of determining your candidacy for DiverseCity Fellows 2009 and may be disclosed to appropriate bodies/organizations associated with the program and its selection process. Following the announcement of the names of the2009 Fellows, both electronic and paper records will be deleted. However, should you be admitted to the Fellows program, your information will remain on file until the completion of the fellowship year.
DiverseCity
