2019 Rising Leaders Fellowship Application
Thank you for your interest in the Rising Leaders Fellowship. Applicants should complete this form. Please note: applicant's supervisor must complete and sign a separate form (the 2019 RLF Sponsor Form) for this application to be complete. The priority deadline is February 22nd. The application final due date is March 8th, 2019.
Email address *
Name: *
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Personal Address: *
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City: *
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State: *
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Zip Code *
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Personal Phone: *
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Personal Email: *
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Name Of Organization(s) Where Employed: *
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Title: *
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Years with Current Employer: *
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Work Phone: *
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Work Email: *
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Work Address: *
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Supervisor Name: *
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Supervisor Email: *
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1.Provide your organization's mission and a brief description of programs *
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2. Provide a brief description of your job role(s), and how your work helps to advance the mission of the organization *
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3. How do you see your participation in the Rising Leaders Fellowship impacting the young people you serve? *
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4. If, given the opportunity, what specifically would you focus on to increase cultural relevancy within your programs? *
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5. What type of change do you feel you can impact within your organization? (Check all that apply) *
Required
6. Do you have any conflicts with the schedule as listed in the information sheet? If yes, please describe: *
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By typing your signature below, you agree to attend an interview should you be invited, make a deposit of $200* to Youth Outside IF selected, and actively participate in the Rising Leaders Fellowship program. *
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*Deposit can be made by either the individual or the individual’s employer
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