MIT Educational Experience Application
  • (please also include your host agency name if applicable)
  • - -
  • / /
  • (Month/year)
  • (Please put N/A if none.)
  • (Please put N/A if none.)
  • (Please put N/A if none.)
  • Membership status does not impact the hosts' decision on FAM participants, but if selected you will be required to be a current dues-paying member.
  • Should you reconfirm your acceptance and later need to cancel, you may be assessed a cancellation penalty as outlined in the specific FAM terms.