The Kairos Fellowship Application
Please fill out this application form in it's entirety. This application plus your interview with the local community will be the basis for our decision on your acceptance to the fellowship. We wish you the best of luck and thank you for the time you put into this process. We will reach out once decisions are made for this application cycle which should be made no later than March 15th. *****This application closes on Friday, February 10, 2017 and you must schedule your interview with your local team before Friday February 17, 2017. If your application comes after the deadline, you will be considered for the next cycle which will happen in May.*****
First Name *
Last Name *
Date of Birth *
Current City *
Current Country *
Best email for Kairos fellows, alumni and executives to contact you *
Phone Number to contact you for a phone screen if necessary *
Please include country code
Who within Kairos nominated you to apply? (If noone, please refer to question below)
Please provide a professional reference with the following information (First Name, Last Name, Email, Phone Number) and have them send a reccommendation letter to by (date tbd)
Undergraduate University *
Graduation Year *
Graduate University
Graduation Year
Where do you see yourself making a change in the world in the next twenty years? (This is not a social change question, but personal to you and what you believe about where you will be) *
What are your past accomplishments? (Less then 3 sentences) *
What are you currently working on that excites you? (Less then 3 sentences) *
URL (Your Company/Linkedin/Personal Site/Etc.) *
URL #2 (Your Company/Linkedin/Personal Site/Etc.)
Industry Interests (Pick Top Three) *
Please insert video link from YouTube or Vimeo, no more than 1:30 sharing the following: "If you were locked in a room for 3 months and had to focus on solving one market failure in a broken industry, what would the problem be and why, and what would be your solution for solving this problem? *
Why do you want to be a fellow and why should we consider you to be a fellow? -- Delete (use question below) *
We get thousands of nominations every year and only accept a small percentage. We would like you to explain to us why you deserve to be a fellow amongst all of the other nominations.
What will the Fellowship / Community gain if you become a Fellow, and how will the community benefit you? (I feel the answers from the question above all sound the same ... this makes them share how they can add value to the community, and not just take from it)
Last but not least, what is your favorite book, favorite movie, and next place you would like to travel? *
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