PRICEWATERHOUSECOOPERS LLP
PRESENTS:
THE NATIONAL CENTER FOR CIVIL AND HUMAN RIGHTS, INC.
YOUTH ACTIVISM FELLOWSHIP
PricewaterhouseCoopers LLP and the Center for Civil and Human Rights are honored to
announce The Center’s first Youth Activism Fellowship. This fellowship gives Metro-Atlanta teenagers
the opportunity to explore the intersection of culture, community, and human rights with a particular
emphasis on human rights leadership. The Center will create a space for young people to explore their
own identities and abilities as activists. Through a variety of experiences, teens will raise their potential
as individuals who play significant roles in making possible social change. Fellows will develop as…
Scholars by learning civil and human rights history and how the legacies of this history are
affecting the world today;
Ambassadors by serving as representatives of The Center when at The Center and out in the
community;
Leaders by participating in experiences that increase their awareness of leadership
opportunities, their own leadership skills, and how their roles in society can influence the world around
them; and,
Stewards by receiving a stipend upon completion of the program along with financial literacy
information to support their futures as change agents.
This fellowship opportunity is for students in grades 9, 10, or 11 in the Metro-Atlanta area;
students must be committed to attending all experiences dates in order to successfully complete the
fellowship. Please send your application to:
Dina Bailey, Director of Educational Strategies
dbailey@civilandhumanrights.org
Youth Activism Fellowship Expectations
Participants accepted into the Youth Activism Fellowship are expected to attend all fellowship
experiences, serve at least two hours per month of community service, and complete a monthly
mentorship activity in order to successfully complete the program and receive the stipend. Fellows are
expected to conduct themselves in a respectful, professional manner whenever participating in program
experiences.
Important Dates
January 30, 2015 Applications due by 5:00 to dbailey@civilandhumanrights.org
February 7, 2015 Applicant Interviews, interview times 10:00-5:00
February 11, 2015 Youth Activism Fellows announced
February 21, 2015 Kick-Off Program, 10:00 -2:00
March 21, 2015 Fellowship Experience #1, 10:00-2:00
April 18, 2015 Fellowship Experience #2, 10:00-2:00
May 16, 2015 Fellowship Experience #3, 10:00-2:00
June 5-7, 2015 Field Trip to D.C. and Graduation
How to Apply
To apply, please submit:

A completed application form

Response to essay question (listed on application form)

One Letter of Recommendation from a teacher, guidance counselor, or community
leader
*** Upon review of this information, students may be contacted for personal interviews by Dina Bailey,
Director of Educational Strategies for the Center for Civil and Human Rights.
YOUTH ACTIVISM FELLOWSHIP
Application Form
Please complete this form and return to:
Dina Bailey
Director of Educational Strategies
dbailey@civilandhumanrights.org
Applicant Information
Last Name
First
Middle
Address
City
Home Telephone Number
State
Zip code
Name of School and Address
Current Grade Level
Date
Age
Email Address
Social Security #
Date of Birth
Gender
Essay Question
On a separate piece of paper, write at least 250 words about why you are applying for the Youth
Activism Fellowship. Why are you interested in the fellowship? What do you hope to gain or learn
about being a leader? How will you use what you learn from the program?
YOUTH ACTIVISM FELLOWSHIP
Parent/Guardian Information
Parent/Guardian 1
Last Name
Home Telephone Number
First
Middle
Cell Phone Number
Parent/Guardian 1 Home Address
Work Telephone Number
Email Address
Parent/Guardian 2
Last Name
Home Telephone Number
First
Middle
Cell Phone Number
Parent/Guardian 2 Home Address
Work Telephone Number
Email Address
Why are you interested in your student being part of this program?
Have you reviewed all the program expectations? How will you support your student to ensure he/ she
successfully completes this program?
National Center for Civil and Human Rights
YOUTH ACTIVISM FELLOWSHIP
Applicant Recommendation Form
This form must be filled out by the applicant and given to the individual who will be making the
recommendation. The adult making the recommendation should send this form directly to Dina Bailey,
Director of Educational Strategies for the Center for Civil and Human Rights, at
dbailey@civilandhumanrights.org.
Name of Applicant___________________________________________Date_______________________
Name of Reference____________________________________________
Reference’s Place of Business ___________________________________Phone #_________________
Reference’s Email Address ______________________________________
Please rate applicant relative
to students in the same age
range.
Poor
Fair
Good
Excellent
N/A
Academic Performance
Intellectual Performance
Emotional Performance
Ability to Interact with Others
Please comment on the applicant’s strengths and weaknesses, how you are associated with the applicant, and
why you think he/ she would be a good addition to the Youth Activism Fellowship. We are interested students
of all abilities; students who have the potential to become leaders, but who are not leaders already are
encouraged to apply.