Maine Drug Policy Research Fellow

Name*
Permanent Address*
School Address (if different)
Student ID #*
Email Address*
Phone Number:*
College Major(s)*
College Minor(s)*
Current GPA*
Current Class Standing*
- Sophomore
- Junior
- Senior
Expected Graduation Date (Month/Year)*
Faculty Advisor*
Faculty Advisor Email Address*
Faculty Advisor and Contact Info.*
Please provide the name and email address for a professor who can be contacted about your abilities.
Were you born in Maine? Did you grow up here? What town? What county?
Why do you want to be a Drug Policy Research Fellow?*