6 Degrees Junior Fellowship Application
Thank you for your interest in the 6 Degrees Junior Fellowship program. Please note that you must fill out the entire application in one session. Applicants are fully responsible for ensuring that all information they provide is correct and up-to-date.
Welcome to 6 Degrees.
First Name *
Last Name *
Date of Birth *
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Place of Birth *
Please give city and country.
Current City (and Country) *
The city and country from where 6 Degrees will cover the cost of 1 round trip to Toronto for 6 Degrees Citizen Space 2017. (i.e.: Vancouver, Canada) Junior Fellows are responsible for all local travel to the closest airport.
Email Address *
Phone Number *
Please include the country code. (i.e.: +1 416 593 6998)
Mailing Address *
Please use the address format widely used in your country of residence.
Languages Spoken (Optional)
Only if applicable.
Are you active on social media? *
Twitter Handle (if applicable)
i.e.: @6degreesto
Facebook Account (if applicable)
Instagram Account (if applicable)
Are there any other social media accounts that you wish to share with us?
Why have you chosen to apply for the 6 Degrees Fellowship? *
What experiences (professional and/or personal) have you had that inspired you to do work related to inclusion and citizenship? *
In one sentence, please share what is the single most important reason why you would make an outstanding 6 Degrees Junior Fellow. *
Fellowship Project Proposal *
Your proposal should include the following sections: (1) summary of initiative; (2) demonstrated need for this initiative and how your initiative fills this gaps; (3) measurable impact of your initiative. Proposals should be limited to a single A4 or 8.5x11 page. Proposals that exceed a single page will not be reviewed. Please name the attachment according to this file format: "<last name>_<first name>_<title-of-project>_Proposal" (i.e.: "Jones_Mark_Inclusion-In-Canada-Today_Proposal.docx")
Required
Preliminary Project Budget *
Please provide a preliminary budget on how you will use the $2000.00 grant to build inclusion and citizenship in your community. Please name the attachment according to this file format: "<last name>_<first name>_<title-of-project>_Budget" (i.e.: "Jones_Mark_Inclusion-In-Canada-Today_Budget.docx")
Required
Curriculum Vitae *
Please provide your CV or resume (1 page maximum). Please name the attachment according to this file format: "<last name>_<first name>_CV" (i.e.: "Jones_Mark_CV.docx")
Required
REFERENCES
Please provide the contact information of two character references who can speak to your work in and passion for inclusion and citizenship.
First Name and Last Name (Reference #1) *
Email Address (Reference #1) *
Phone Number (Reference #1) *
Please include the country code. (i.e.: +1 416 593 6998)
Position and Organization (Reference #1) *
Relationship to Applicant (Reference #1) *
How long has Reference #1 known the applicant? *
First Name and Last Name (Reference #2) *
Email Address (Reference #2) *
Phone Number (Reference #2) *
Please include the country code. (i.e.: +1 416 593 6998)
Position and Organization (Reference #2) *
Relationship to Applicant (Reference #2) *
How long has Reference #2 known the applicant? *
How did you hear about the 6 Degrees Junior Fellowship? *
Are you a current or past member of the ICC's Cultural Access Pass program? *
New Canadian citizens who sign up for CAP receive free admission to more than 1,300 cultural attractions across Canada during their first year of citizenship, including museums, art galleries, science centres, and parks. Find out more at www.culturalaccesspass.ca.
Yes, you are a CAP member. What is your membership number (as it appears on your membership card)?
Would you like to subscribe to 6 Degrees Updates? *
By clicking yes, you consent to receiving updates from 6 Degrees. You can unsubscribe at any time.
Required
Do you confirm that, to the best of your knowledge, the information submitted in this application form is true, complete and accurate. *
Required
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