Fellowship Application 2015-2016
Application Deadline: May 1, 2015
Please fill this out to the best of your ability. In addition to the information you provide below, your application will be
evaluated on how relevant your responses are to the goals of TPC and the TPC Fellowship program.
Part 1 - General Information
Name:
Mailing Address:
Email:
Phone number:
Date of Birth:
How you came to learn about
TPC’s Fellowship Program:
TPC Members (if any) with
whom you are acquainted:
TPC Fellows (if any) with
whom you are acquainted:
TPC Grantees (if any) with
whom you are acquainted:
Part 2- Reason for Applying
Please limit each response to 200 words.
Why are you interested in becoming a TPC Fellow? What do you hope to learn?
Please tell us about a situation in which you either acted as a philanthropist or were the
recipient of philanthropy. (You may define the word philanthropy any way you want). What did
you learn about yourself and/or your community from this experience?
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Fellowship Application 2015-2016
Application Deadline: May 1, 2015
Part 3 – Relevant Experience
Please limit each response to 300 words.
If you are awarded a Fellowship, which committees would you like to serve on and what
relevant skills would you bring to each?
Please describe a leadership role you have played in your life. Please consider academic,
professional, community, and social.
Please indicate roles you have played in supporting nonprofit organizations. What was
accomplished as a result of your efforts?
Page 2 of 3 All rights reserved The Philanthropy Connection 2015
Fellowship Application 2015-2016
Application Deadline: May 1, 2015
Part 4- Additional Information
Please limit each response to 150 words.
If you had one million dollars, how would you use it to further your philanthropic goals? Please
be as specific as you would like.
Anything else you would like to tell us?
Part 5 - Please attach your resume (Limit 1 page)
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