Opportunity Collaboration Boehm Senior Media Fellow Application 2019
Applications for 2019 will close March 10th, 2019.

Applications submitted after this date will be reviewed only if space becomes available.

* Please be sure to read the terms and conditions of the fellowship prior to submission:
https://goo.gl/forms/nbsj6BWzjQMCF5mg1

Applicant Info
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
City
Please complete if you have moved or if you were a fellow prior to 2017.
Your answer
State/Province
Please complete if you have moved or if you were a fellow prior to 2017.
Your answer
Country
Please complete if you have moved or if you were a fellow prior to 2017.
Your answer
Phone Number
Please complete if your number has changed or if you were a fellow prior to 2017.
Your answer
Organization/Company Name
Please complete if your organization/company has changed or you were a fellow prior to 2017.
Your answer
Job Title
Please complete if your title has changed or you were a fellow prior to 2017.
Your answer
Geographic Focus
Please complete if this has changed or you were a fellow prior to 2017.
Your answer
Bio *
If selected as a senior fellow, this section will be shared with the Opportunity Collaboration delegate community. Third person narrative is preferred. Please don't link to your website for the bio.
Your answer
We are looking for a range of media skills. Please select your area(s) of expertise. *
Please select all that apply
Required
Professional Experience
What unique media skills or knowledge do you have to contribute to the Opportunity Collaboration community?
Please complete if you were a media fellow prior to 2017.
Your answer
Who is your audience(s)? *
Please share by sector or profession i.e. non profit organizations, social businesses, foundations, funds, NGOs, funders, social entrepreneurs, educators.
Your answer
Please share a project, program or other experience that best describes your work and your gifts. This should showcase each of the following: 1) How you have used the media in innovative ways to drive social change, 2) How your work demonstrates a commitment to sustainable solutions to poverty and/or social justice, and 3) How closely or often you have worked directly with local communities. (The community does not have to be local to you. It can be any community you've worked with directly.)
Please complete if you were a media fellow prior to 2017.
Your answer
Please share any experience you have working in a cross-cultural setting.
Please complete if you were a media fellow prior to 2017.
Your answer
Opportunity Collaboration strives to bring together people who are nimble and innovative across sectors and outside of silos. How does your work demonstrate cross-sector collaboration or how has it in the past? How would being a part of the fellowship create new opportunities for such innovation in the future? *
We define cross sector as forging alliances with change makers from various disciplines and across social issues and geographical boundaries, etc.
Your answer
How do you stay up to date and current in your field and how do you incorporate new information into what you already do? In your answer, please include current media or social impact trends that relate to your work, and how your work has responded to or reflects these trends. *
Your answer
Professional Portfolio
Please complete if you were a media fellow prior to 2017 or if you have updated or new media that has yet to be shared.
Website or Online Portfolio
Your answer
Please provide links to any relevant publications, presentations, or other representations of your work that you'd like to share.
Your answer
Have you received any awards for your media work? If yes, please list.
Your answer
Professional Social Media Links
Please complete if you were a media fellow prior to 2017.
LinkedIn
Your answer
Twitter
Your answer
Other
Your answer
Facilitation, Training, and Teaching Experience
At Opportunity Collaboration, senior fellows will facilitate 1-2-hour capacity building sessions and offer one on one media advising. In this section, please provide information about your previous facilitation, training or teaching experience. We encourage you to focus on aspects of current and previous work that would be most relevant to Opportunity Collaboration.
Please describe the topic, purpose, intended audience and outcome of a relevant session that you offered in the past.
Please complete if you were a media fellow prior to 2017. Only describe work you've done other than the Opportunity Collaboration session(s) you facilitated in a previous year(s).
Your answer
How long was the session, was it interactive (if so how/in what way), and how many people attended?
Please complete if you were a media fellow prior to 2017. Only describe work you've done other than the Opportunity Collaboration session(s) you facilitated in a previous year(s).
Your answer
Please describe how you developed the content for the session - was it something you put together, or was it a team effort? What was your process and what framework or data did you use to make your decisions?
Please complete if you were a media fellow prior to 2017. Only describe work you've done other than the Opportunity Collaboration session(s) you facilitated in a previous year(s).
Your answer
How did you solve any challenges that came up during the session that you didn’t anticipate?
Please complete if you were a media fellow prior to 2017. Only describe work you've done other than the Opportunity Collaboration session(s) you facilitated in a previous year(s).
Your answer
How did you adjust to different levels, interests or needs in the audience?
Please complete if you were a media fellow prior to 2017. Only describe work you've done other than the Opportunity Collaboration session(s) you facilitated in a previous year(s).
Your answer
As in previous years, senior fellows will provide one on one media advising to delegates. If given the opportunity, what would you focus on this time around and why? *
For example delegates often have questions about messaging, communications, branding, social media, etc.
Your answer
As in previous years, senior fellows will provide one on one guidance, feedback, and support to new fellows. If given the opportunity how would you approach this? *
Your answer
What media session would you be interested in facilitating at Opportunity Collaboration and why this topic? *
This could be a session you previously facilitated or was previously offered at Opportunity Collaboration.
Your answer
How far along are you in the development of this session? *
If this is a session that is similar to or the same as one you have already facilitated at Opportunity Collaboration in the past, please specify that here.
Your answer
Who would be the target audience? *
Please share by sector or profession i.e. non profit organizations, social businesses, foundations, funds, NGOs, funders, social entrepreneurs, educators.
Your answer
What would be the purpose of the session and what outcomes are you hoping to achieve? *
Your answer
Please share any other information about your facilitation, training, or teaching experience that you think is relevant. This can also include relevant presentations and public speaking experience.
Your answer
Financial need
Boehm Media Fellows receive $3,200.00 in registration support. The fellow pays round-trip airfare and $850.00 registration. Additional limited scholarships might be considered based on demonstrated financial need and commitment to diversity. This includes a commitment applicants have to serving diverse geographic locations, genders, religions, races, ages, ethnicities, etc. As part of our own commitment to diversity, we strive to work with fellows who bring diversity not only based on their personal backgrounds and experiences but also their diverse media expertise and skill set.
Please provide a brief description of your financial need for this fellowship. *
Your answer
Please describe your commitment to diversity.
Your answer
Other
What do you hope to gain by attending Opportunity Collaboration? *
Your answer
Do you see anything getting in the way of the time commitment for a senior fellow prior to Opportunity Collaboration? *
7-10 hours between April - October
Your answer
As a senior fellow what do you feel you have to contribute to the delegate community and the new media fellows that is different from previous years that you attended? *
Your answer
Please share a fun fact about yourself! *
Your answer
Please share any additional info that you would like us to know about you and your work. This can include anything that is new in your work since you last attended Opportunity Collaboration or changes in your work that are a result of any past participation in Opportunity Collaboration.
Your answer
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