Funders' Network

PLACES Fellowship Application

The final date to apply is July 30, 2013. You will not be able to save an unfinished application. Please be sure to read the PLACES Program Factsheet and have your supporting materials ready before beginning your application.

Salutation

First Name*

Last Name*

Job Title*

Philanthropic Affiliation*

Work Address*

City*

State*

Zip*

Work Phone*

Mobile Phone

Work Email*

Email Confirm*

Supervisor Name*

Supervisor Phone*

Best way to reach me:*

Work Phone Mobile Phone Work Email

* Required Fields

Application Essays:

Please answer the following questions in a separate document and upload the document with your completed application. Please be sure to include your name and contact information. For each question your response should not exceed 150 words.

How did you become involved in philanthropy?
What skills or knowledge do you hope to obtain as a result of your participation in the fellowship?
How will this add value to the work of your organization?
This fellowship is intended for persons who are serving low-income neighborhoods or communities of color — how do you fulfill this requirement?

Upload Essay Responses*

In addition to completing the above items, please upload a current resume and letter of recommendation from your supervisor. If your letter of recommendation is being sent directly to the Funders’ Network, please have an electronic copy sent to Kris Smith, Program Director, at .(JavaScript must be enabled to view this email address).

Upload Resume / Curriculum Vitae*

Upload Recommendation Letter

Please select three (3) areas that are within your sphere of influence:

Demographic Information (Optional Section)

The Funders’ Network supports creating better pathways for greater diversity, equity, and inclusion in philanthropy. TFN embraces the diversity of experiences and knowledge among the people we work with, particularly with regard to race, ethnicity, socio-economic background, gender, sexual orientation, age, and physical ability. Completing the questions in this section will give the Selection Committee information that will help it to ensure as rich and diverse mix of professionals in the fifth PLACES class as possible, who we expect to become an important segment of the future leadership pool for philanthropy and in communities.

Which of the following describes your Ethnicity?

Hispanic or Latina Non Hispanic of Latina

Which of the following best describes your race?

American Indian or Alaskan Native Asian Black or African American Native Hawaiian or Pacific Islander White

Select one category: Female Male Other

Final Checklist:

Please note you will not be able to submit your application unless you have completed the first three requirements.

Read PLACES Program Factsheet?* Uploaded the essay questions?* Uploaded your resume or curriculum vitae?* Uploaded Recommendation Letter

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