Community Leadership in Justice Fellowship
2015/2016 or 2016/2017 Academic Terms
Application Form
1. Candidate Fellow
Name
Position Title
Telephone
Email
Mailing Address
2. Public Interest Organization
Name
Address
Website
Telephone
Mandate
Incorporation Date
Registered Charity
No. (if applicable)
3. Academic Host Institution
University/College
Faculty/School/
Department/Program
Website
Address
Note: The faculty/staff contact listed here should be the person
Faculty/Staff
who will serve as the school’s liaison with the Fellow, and who
Contact:
will be the main contact for the LFO.
Name
Position Title
Telephone
Email
4. Proposal – Summary
Project Title
Brief (2-3 sentences)
summary of
proposal
Start Date
End Date
Time in Residence
If the Fellow is to be
part-time, include
details as to how the
amount of this
arrangement will be
managed.
Full-time
Part-time
5. Proposal – Detail
Attach a separate document with responses to the following questions. There is
no page limit; your responses should be both concise and sufficiently detailed.
Please refer back to the discussion of the Fellowship Program’s objectives in the
Call for Applications when preparing your responses.
1. What will be the nature and scope of the Fellow’s activities within the academic
institution, and resulting product?
2. How will these activities contribute to the LFO’s statutory objects, vision, and
mission?
3. How will the fellowship promote growth and development of the individual?
4. How will the outcomes of the fellowship be brought back to the Public Interest
Organization?
5. How will the academic host benefit from the fellowship?
6. Who else may benefit and how?
7. How will you know that the fellowship has been successful (i.e. what outcomes
are anticipated)?
Please include the following items with your application:
8. Candidate fellow’s résumé or CV.
9. Budget
Up to $50,000 in salary.
- Attach an explanation of how the salary amount was calculated (normal
salary of applicant Fellow x amount of time in residence as a Fellow).
- Provide the contact name and address of individual at Public Interest
Organization who will be responsible for administration of salary amount.
Up to $15,000 awarded to each academic host for equipment and programrelated expenses.
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Academic host institution should provide a budget for up to $15,000 with
intended uses as well as any in-kind contributions.
10. Work plan, including timelines and deliverables.
11. At least one letter of support.
12. List of names of the Board of Directors of the Public Interest Organization
Feel free to include any other information that you think would be helpful.
NOTE: Applicants are advised that, if awarded a Fellowship, the LFO will be
requesting written interim and final reports from each of the Fellow, academic
host, and public interest organization. Reporting guidelines will be provided prior
to the start of each Fellowship.
6. Signatures:
Candidate Fellow
Public Interest Organization Chair
Academic Dean/Chair
Applications are to be received in the offices of the Law Foundation of Ontario by
April 30, 2015 by 5:00 pm and must be submitted either by:
1) email to cljf@lawfoundation.on.ca; or
2) fax to (416) 598-1526 (marked “Attn: Tanya Lee”).
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