optiMize Summer Fellowship Application 2019
Each individual in the Social Innovation Challenge intending to participate in the Summer Fellowship must apply before Sunday, 2/17/18 at 11:59PM
* Required
Email address
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First Name
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Last Name
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Team Name
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UMID
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Graduation Year
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College
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Choose
LSA
Engineering
Ross
Stamps (Art & Design)
Nursing
Public Policy
Public Health
Medical School
Pharmacy
Kinesiology
Social Work
Education
Music, Theater, and Dance
Architecture
Environment and Sustainability
Information
Law
Rackham
Dentistry
Do you qualify for need-based financial aid? (This information will be held confidential and has no impact on our funding decisions, but is important to how we initiate funding transfers.)
*
Yes
No
I'm not sure
Are you currently or have you ever been employed by the University of Michigan? (check yes if you have any temporary or part-time roles, including as research assistant)
Yes
No
Maybe
Please upload a headshot photo of yourself!
*
Add file
Required
Personal References
Please list name, phone number, and email for 2 individual references. Please ask for permission from these two people before you send us their contact information. We may reach out to them for a conversation after your team's final pitch.
Reference #1 Full name, email, phone
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Reference #2 Full name, email, phone
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Fellowship Program Specifics
Note: If you commit to work on your project this summer, your team has a stronger chance at receiving a Project Grant
Is working on this project your first priority for the summer?
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Yes
No
Can you commit to working 40 hours per week on your project?
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Yes
No
If you answered 'No' to the previous question, please elaborate on how many hours you can commit to your project per week, and explain why this is the case.
Where do you plan to work over the summer?
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in Ann Arbor
in another location that my project necessitates
If you won't be in Ann Arbor over the summer, can you tell us where you'll be and why? (If you're in Ann Arbor, answer "N/A")
*
If you receive an optiMize fellowship, do you plan to pursue another job, internship, or research position on campus or elsewhere?
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Yes
No
If you answered 'Yes' to the above question, please elaborate. (NOTE: This does NOT disqualify you for fellowship funding! We want to know your plans so that we can better understand your situation before the selection committee make funding decisions)
*
Do you plan to take classes during the spring and/or summer term?
Yes
No
Maybe
Are you a student athlete on a scholarship?
Yes
No
Can you commit to attending one 3-hour evening meeting each week with the cohort of Fellows?
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Yes
No
Can you commit to attending a weekly 1-on-1 meeting with optiMize Staff?
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Yes
No
I acknowledge my responsibility to proactively communicate any changes to my schedule and summer plans with optiMize leaders
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Yes
No
I plan to be in Ann Arbor during the following weeks: (NOTE: If you will be absent from fellowship meetings for more than two weeks you will need to reach out to optiMize staff to come up with a special working arrangement. Up to two weeks of vacation is allowed, but more than that and we will need to discuss proration of your fellowship stipend)
*
Yes
No
May 12-18
May 19-25
May 26-June 1
June 2-8
June 9-15
June 16-22
June 23-29
June 30-July 6
July 7-13
July 14-20
July 21-27
July 28-August 3
August 4-10
August 11-17
Yes
No
May 12-18
May 19-25
May 26-June 1
June 2-8
June 9-15
June 16-22
June 23-29
June 30-July 6
July 7-13
July 14-20
July 21-27
July 28-August 3
August 4-10
August 11-17
Reflecting on the Social Innovation Challenge
Answer the following questions in no more than 200 words each
How engaged have you been in the optiMize Challenge and community?
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What are some things you've learned through the process of participating in optiMize?
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Have you actively responded to feedback you’ve gotten?
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How have you supported other optiMizers?
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Looking Forward
Answer the remaining questions in no more than 200 words each
Why do you want to be an optiMize Fellow?
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What do you bring to the optiMize community?
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How could we best support you this summer?
*
A copy of your responses will be emailed to the address you provided.
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