Kirchner Food Fellowship Application - 2015 Fund the Food: Kirchner Fellows investing in Global Food Security PERSONAL DATA Candidate: (Surname) (Given Names) Address: Telephone Number: Email: Current status: (Date entry/completion graduate program) Provide an overview describing how the training/mentoring you expect to acquire will contribute to your future goals and achievements. (Do not exceed 500 words) Page 1 of 3 www.fundthefood.com Kirchner Food Fellowship Application - 2015 Fund the Food: Kirchner Fellows investing in Global Food Security Please describe the sub sectors of agriculture/food and what technologies you are most interested in as it relates to addressing global food security. (Do not exceed 500 words) What are the characteristics that should define a Kirchner Food Fellow? How have you demonstrated these? (Do not exceed 1000 words) Page 2 of 3 www.fundthefood.com Kirchner Food Fellowship Application - 2015 Fund the Food: Kirchner Fellows investing in Global Food Security Check List – To be included with your application Name: Application form Curriculum vitae of the applicant Official university transcript(s) Names and contact information for 3 references (Note: the selection committee reserve the right to approach anyone who may be able to provide a reference on the applicant) INCOMPLETE APPLICATIONS OR THOSE WITH ADDITIONAL INFORMATION THAT WAS NOT REQUESTED WILL NOT BE CONSIDERED. Completed applications should be sent to Executive Director Alastair Summerlee. Subject: Kirchner Food Fellowship Application: <full name> Alastair Summerlee Executive Director Kirchner Food Fellowship Program 519.824.4120 x 52986 asummerlee@fundthefood.com Page 3 of 3 www.fundthefood.com