Changemakers 2027 Application

Applicant Information

First Name

Last Name

Mailing Address

Country

Street

City

Region

Postal Code

Email Address

Phone Number

Birthdate

Are you related to any Stetson University faculty, staff, current students, or trustees?

Yes

No

Please list their names here:

Relation Information

Parent or Guardian First Name

Parent or Guardian Last Name

Parent or Guardian Email Address

Parent or Guardian Phone Number

School Information

What High School Do You Attend?

HS CEEB Attach - INTERNAL

Select Your Grade in Fall 2027:

Sophomore

Junior

Senior

Short Answer Questions (In 300 Words or Less)

1. What are 2 problems, issues, or challenges in your school, community, or the United States as a whole that you really want to see change? For each one, explain why you care about it and a change you want to happen with it.

2. Describe the best example of a time when you stood up for what you believe in, helped others, or worked to make a positive change in your community. This could include experiences like volunteering, leading a school club, supporting a cause you care about, or handling an unfair situation affecting you and/or others.

3. Describe your gender identity(ies) and your racial identity(ies) and discuss how inequalities related to gender and race have affected your life.

4. Who or what inspires you to make a difference, and why? How has this person, event, or idea shaped your outlook on leadership and social change?

Note: Consistent with Stetson University’s values, the Stetson Changemakers Academy celebrates demographic diversity among its participants, fosters an inclusive experience where everyone treats one another respectfully, and promotes social equity, which enables historically disadvantaged groups to participate as equals in society. By applying, you agree to act in accordance with these commitments if you are selected as a participant.

Signature (*Enter Full Legal Name)

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