2012 Emerging Leaders International Fellows Program & U.S. Diversity Fellowship

Dear Applicant:

Thank you for your interest in the Center on Philanthropy and Civil Society's 2012 Emerging Leaders International Fellows Program and U.S. Diversity Fellowship.

Applicants from outside the United States: Please note that applications submitted after April 9, 2012 from outside the United States will not be reviewed, as the application deadline has passed.

However, applications from U.S. citizens from communities of color who are applying for the 2012 U.S. Diversity Fellowship and from U.S. citizens applying to the Emerging Leaders International Fellows Program on a tuition basis are welcome.

Please be sure to check the Center web page on community foundations to better understand the working definition that the Center is using. Please note that it is not within the mandate of the Center nor the International Fellows Program at this time to provide funding support for projects, programs and organizations, as well as the pursuit of higher education.

Applicants from the United States: Please complete and submit this online application form. As part of the application process, you will be asked to upload the following required documents:

1. Résumé or curriculum vitae identifying past and present employment, as well as educational experience
2. A 3 to 5 page research proposal that identifies a research topic on community foundations, questions to be addressed in the research, and the anticipated methodology and plans for implementation
3. A statement of what you seek to accomplish during the program and how the fellowship would enhance your career plans. Any professional or academic experience outside of your home country should also be described. (Maximum 2 pages in length)

Be sure to upload the documents when prompted. If you are unable to upload these documents, you may e-mail them as MS Word, PDF, JPG or TIF attachments to cpcs@gc.cuny.edu and include "ELIFP & DF 12" in the subject line.

A complete application must include two (2) signed professional letters of recommendation. Please note that the letters must be signed by the referee on official letterhead, and should be sent to the Center directly by the referee, via e-mail to cpcs@gc.cuny.edu, via fax to 212.817.1572 or via post to:

Kathleen D. McCarthy
Director
Center on Philanthropy and Civil Society
The Graduate Center, CUNY
365 Fifth Avenue, Suite 5401
New York, NY 10016-4309
USA

N.B.: Please note that due to the high volume of submissions, incomplete applications will not be acknowledged.

For updates and additional information on the program, please visit our website, www.philanthropy.org.

Should you have any questions, please send an e-mail to cpcs@gc.cuny.edu, indicating "ELIFP & DF 12" in the subject line.

Thank you.

1. Please provide the following information:

Family name/Surname
First name
Middle name
Country of birth
Country of residence
Countries of citizenship
Date of birth (mm/dd/yyyy)
Gender

2. Are you currently employed?

	Yes
	No

3. Please enter your current principal place of employment or Third-Sector professional affiliation.

Name of organization/company
Current title/position
Dates of service in this position
City
Country

4. Please indicate one category which best describes your place of employment or Third-Sector affiliation.

5. Do you hold a degree from a university, college or other comparable institution of higher learning?

	Yes
	No

6. Are you presently a student at a university, college or other comparable institution for higher learning?

	Yes
	No

7. Please enter the title of your research proposal.

8. Referee #1

Name
Title/Position
Affiliation

9. Referee #2

Name
Title/Position
Affiliation

10. Is English your native language?

	Yes
	No

11. Was English the language of instruction at your college or university?

	Yes
	No

12. If you answered no to the previous two questions, please enter your score(s) where applicable or complete the Other information as indicated. Otherwise, skip to the next question.

	Score/Program/Date
	Score/Program/Date	TOEFL (computer-based)
TOEFL (paper-based)
IELTS
University of Cambridge ESOL
Other (if selected, indicate name of program, host institution, and date of completion)

13. Do you have prior academic or professional experience in the United States?

	Yes
	No

14. If yes, please provide the name of the program(s) and the sponsoring organization(s). Please provide up to three (3) and list the most recent first.

1a. Name of program
b. Sponsoring organization
c. Year
2a. Name of program
b. Sponsoring organization
c. Year
3a. Name of program
b. Sponsoring organization
c. Year

	Community foundation
	Nonprofit (NGO)
	Nonprofit (government affiliated)
	Private for profit
	Government agency/department/ministry/office
	Educational institution
	Other. Please specify.