2015 TATUA KENYA FELLOWSHIP PROGRAM
APPLICATION FORM
Part 1
Full Name *
Your answer
Age *
Required
Location *
include city
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Formal Education *
Highest level of school completed
In what capacity are you joining the fellowship? *
Required
List current and previous work in the community *
( include brief description of project, duties and activities, dates of service)
Your answer
What are your reasons for wanting to join the fellowship? *
Your answer
How did you learn about the Tatua fellowship program? *
Your answer
Do you believe your community can address its own challenges using the locally available resources? Why? *
Your answer
Are you willing to commit 10 - 18 hours a week to lead your campaign/project? *
Required
Are you able to commit to attending all training and coaching sessions? *
(Not more than 50 hrs per month)
Required
Are you able to fundraise. If yes, how would you raise kshs. 50,000 required for the 6 months long fellowship in 3 months. If no, what help would you need to be able to fundraise? *
Your answer
PART 2
Short Essay questions
Write a short summary of your understanding and interest of learning community organizing and how you hope to benefit from the fellowship program. *
Your answer
Briefly describe the urgent problem you see in your community?(If working/ volunteering at an organization- what problem are you involved in solving?) How would you solve it using the resources available in your community? *
Your answer
Write a short summary of a time in your life when you have stepped up to leadership and lead people to achieve something together. *
Your answer
Please list three references of people who know you well, other than relatives, preferably for whom you have worked with either as a volunteer or paid capacity. *
(Name,address, phone, relationship)
Your answer
Tatua Kenya reserves the right to make any checks deemed appropriate as to the suitability of anyone responsible *
Required
Date of application *
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