Brechner Reporting Fellowship Application Form

Name:*

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Email Address:*

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City and State:*

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Current or Most Recent Journalistic Employer:*

Date of Loss of Employment or Compensation:*

Professional Resume Links:

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Accepted file types: pdf, doc, docx, Max. file size: 64 MB.

Links to three samples of journalistic work:*

Statement of interest in open-government issues as well as any specific research projects of interest:*

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