Bergstrom Fellows Application - The Ability Experience

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Bergstrom Fellows Application

Thank you for your interest in becoming a Bergstrom Fellow. Please complete the requested information below to start the process.

First Name:*
Last Name:*
Email Address:*
Phone Number:*
Pi Kappa Phi Membership Status:*
- Associate Member
- Active Undergraduate Member
- Alumni Member
Chapter:*
College:*
Do you currently work for a camp that serves people with disabilities?*
- Yes
- No
What Camp?*
What are the possible camps are you are interested in working at?*

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