NIAF on Campus Program – 2019 Student Application * All fields are required, unless otherwise noted. STUDENT INFORMATION * How did you hear about the "NIAF on Campus" and the NIAF? * Full Applicant Name: * Gender: SelectMaleFemale * School Address 1: School Address 2: * City: * State: * Zip: * Phone: * Permanent (non .edu) E-mail Address: * Date of Birth: MONTHJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember DAY12345678910111213141516171819202122232425262728293031 YEAR200120001999199819971996199519941993199219911990198919881987198619851984198319821981 * NIAF Member ID number: PARENT/GUARDIAN INFORMATION * Parent/Guardian Name: * Parent/Guardian Phone: * Parent/Guardian Address: Parent/Guardian Address 2: * City: * State: * Zip: * Father of Italian Descent? SelectYesNo * Mother of Italian Descent? SelectYesNo * Italian regions where your ancestors are from: Enter more specific cities (optional): ACADEMIC INFORMATION * Name of College/University: * Major/Area of Study: * Expected Year of Graduation: * Are you a member of the Italian Club/Organization at your School? SelectYesNo * I am a Selectcollege freshmancollege sophomorecollege juniorcollege seniorgraduate student * What is the name of the Italian Club/Organization at your School? * Position in the Italian Club/Organization at your School: * The Italian Club/Organization at your school is a SelectClubAcademic/Honor SocietyUniversity DepartmentOther If other, please describe. * Please describe your Italian organization’s purpose, types of activities that it carries out and your role within it. * Do you plan on studying abroad during the Fall 2019 or Spring 2020 semesters? SelectYesNo If yes, when? * Do you speak Italian? SelectYesNo -> If yes, what level? * Have you ever been to Italy? SelectYesNo ->If so, where? * Have you participated in any NIAF programs or activities in the past, including winning a NIAF scholarship, attending the Voyage of Discovery or attending the NIAF Gala? SelectYesNo ->If yes, list the program(s) and year(s): * Does your organization receive support/financial assistance from any other local or national Italian/Italian American organizations? SelectYesNo ->If yes, list the organization(s) and way(s) in which your organization receives support: * Tell us about your involvement at your university both in your Italian Club and in the University community. What motivated you to become involved in your Italian Club? * Please describe how you act as a leader in the Italian American community. * How do you expect the Italian American community to evolve over the next 25 years? * Why is it important to educate university communities about the Italian American culture? As a NIAF on Campus Fellow, how do you plan to create a stronger Italian American presence on your school’s campus?