Stoneleigh Foundation Emerging Leader Fellowship Program INDIVIDUAL APPLICATION (Submitted to Partner Organization) Fellowships beginning July 1, 2015 Guidelines: 1. Fellowship applicants select a project from the 2015-2016 Project Abstracts, and submit the completed Individual Application directly to the partner organization via mail or email. The Individual Application is due on December 1, 2014. Do not send this application to Stoneleigh Foundation. 2. A complete Individual Application should include: Cover Letter Completed Individual Application Resume Personal Statement (500 words maximum) After the partner organization has selected a Fellowship candidate, the two will work together to complete the Joint Application, which will be submitted to Stoneleigh Foundation. Joint Applications are due by 5 p.m. on January 6, 2015. Stoneleigh Foundation will review the Joint Applications and will announce Fellowship awards by mid-March 2015. The Fellowship term is July 1, 2015 – June 30, 2016. For more information on the Stoneleigh Foundation and the Emerging Leader Fellowship program, please visit http://www.stoneleighfoundation.org or contact: Brittany Anuszkiewicz, Program Officer Stoneleigh Foundation (215) 735-7080 brittany@stoneleighfoundation.org Stoneleigh Foundation Emerging Leader Fellowship INDIVIDUAL APPLICATION (Submitted to Partner Organization) PROJECT INFORMATION: Name of Partner Organization: ___________________________________________________ Name of Project: ______________________________________________________________ Name of Organization Contact: __________________________________________________ PERSONAL INFORMATION Candidate Name: _____________________________________________________________ (First) (Middle) (Last) Address: ____________________________________________________________________ City: ______________________________ State: ________________ Zip Code: _______ Preferred Telephone: ____________________________ Email: ______________________ How did you hear about this Fellowship opportunity? ________________________________ EDUCATIONAL INFORMATION ADVANCED DEGREE (if applicable) School: _______________________________________________________________________ Concentration: _________________________________________________________________ Degree Awarded/Expected: ______________________________________ Year: ____________ UNDERGRADUATE DEGREE School: _______________________________________________________________________ Major/Minor: __________________________________________________________________ Degree Awarded/Expected: _______________________________________ Year: ___________ RELEVANT EMPLOYMENT 1. Employer: ___________________________________________________________________ Position Title: __________________________________________________________________ Primary Responsibilities: _________________________________________________________ Dates: ___________________________________ 2. Employer: ___________________________________________________________________ Position Title: __________________________________________________________________ Primary Responsibilities: _________________________________________________________ Dates: ___________________________________ OTHER QUALIFICATIONS (Fellowships, awards, scholarships, volunteer experience, etc.) 1. Description: __________________________________________________________________ ________________________________________________________________________ Dates: _________________________________ 2. Description: __________________________________________________________________ ______________________________________________________________________________ Dates: _________________________________ REFERENCES (One Academic and One Work-Related) References may be contacted by partner organization staff. 1. Name: ______________________________________________________________________ Relationship to Candidate: ________________________________________________________ Telephone Number: ______________________ Email: ________________________________ 2. Name: ______________________________________________________________________ Relationship to Candidate: ________________________________________________________ Telephone Number: ______________________ Email: ________________________________ PERSONAL STATEMENT (500 words maximum) Please tell us briefly why you would like to participate in the Stoneleigh Foundation Emerging Leader Fellowship and why this project interests you. What kinds of previous experience or knowledge would you bring to this particular project? (Use a separate sheet.)