Civic Innovation Fellowship - Spring 2020 Cohort
The Civic Innovation Fellowship is intended for individuals seeking to improve our community through innovative, community-led projects. We believe civic innovation is an incredibly powerful tool for community empowerment. In order, to intentionally foster civic innovation for equity-related projects, we've developed a this program to help give civic innovators the space, network, and support to realize success. For full information see
http://cci.smartcville.com/fellowship.html
Deadline: December 20, 2019
* Required
Email address
*
Your email
Full Name
*
Your answer
Age
*
Your answer
Residency
*
Choose
Albemarle County
City of Charlottesville
Other (Central Virginia locality)
Location of project (e.g. City, County, neighborhood name, etc)
*
Your answer
Is your project related to an equity issue in our area?
Yes
No
Clear selection
If yes, please identify which equity issue will address
Your answer
Do you identify as a resident from a historically underrepresented group?
Yes
No
Clear selection
Summarize your project or project idea (recommended max: 100 words)
*
Your answer
What specific outcomes do you hope to attain during this program? (recommended max: 300 words)
*
Your answer
We understand that many projects are not tech or data related, but how might technology or data help you achieve your goals? (recommended max: 100 words)
*
Your answer
What else would you like us to know that we didn’t ask?
Your answer
If accepted, do you agree to follow fellow expectations to the best of your ability?
*
Participate in an end of program community event where you will share your progress
Attend the planned training and workshops
Help other cohort members find success
Meet monthly with your mentor group
Complete of regular activities intended to promote your project's progress
Required
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Smart Cville.
Report Abuse
Forms