FY2015 Innovation Schools Fellowship Program Application Instructions: Please complete all sections of this application. A complete application form is required for each Fellowship grant application submitted to the Department for review. Candidate Information Name: _______________________________________________________________ Job Title: _____________________________________________________________ Phone Number: ________________________________________________________ Email Address: _________________________________________________________ District Contact Information Name: ________________________________________________________________ Job Title: ______________________________________________________________ District: _______________________________________________________________ Phone Number: ________________________________________________________ Email Address: _________________________________________________________ Candidate Personal Statement The personal statement must be no more than 5 pages in length and include, but not be limited to the following: Reason(s) for wanting to pursue an Innovation Schools Fellowship; Candidate’s core competencies; Candidate’s motivations, experiences, and aspirations; and The need and/or problem that the candidate has identified and wants to solve. District Superintendent Letter of Support The letter of support from the district superintendent provides the Department and EOE with the confidence that the district fully supports the submission of this grant application, and understands that the expectations of participation set forth by the Department and EOE. The letter of support must be submitted in a separate word document and include the original signature of the district superintendent. Page 1 of 1