Center for Public Leadership



-85725-352425Harvard UniversityGeorge Leadership Fellowship00Harvard UniversityGeorge Leadership Fellowship Application Form 2020-2021Please print clearlyI. GENERAL INFORMATIONName: ______________________________________________________________________________Mailing Address for March–June 2020: ____________________________________________________Telephone: ____________________Email: _______________________________________Permanent Mailing Address (if different from above): _________________________________________Citizenship: ___________________________________II. JOINT DEGREE PROGRAMCandidates for a George Leadership Fellowship must be entering the third year of the joint degree program at the time of their Fellowship. Check here to confirm that you expect to graduate in May 2021 from a joint HBS/HKS degree program: ___Please indicate your Harvard Kennedy School degree program: _______________________________________________________________III. EDUCATIONAL BACKGROUNDPlease list in reverse chronological order any other post-secondary degrees.School State Degree Dates of Attendance_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Please list any internships or activities in which you have taken part, and also any scholarships, honors, prizes, or distinctions you have earned that reflect either your commitment to a multi-sector career or your leadership potential.______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________IV. ATTACHMENTSPlease see the Fellowship Application Guidelines for additional information about submitting attachments.Curriculum Vitae/Resume Essay (Please see application guidelines.) Your essay should not exceed 1000 words. Please respond to the following: The George Leadership Fellowship is awarded based on the recipient’s potential to lead change for the common good. The George Leadership Fellows have a strong moral compass and the capacity to work across the public, private, and nonprofit sectors. ?Please provide an example of a crucible moment in your life that helped shape who you are as an authentic leader?? What did you learn from this experience and how does it influence how you lead?? How has your life story prepared you to be a transformative leader who empowers others?One Letter of Recommendation (Please see application guidelines.) ________________________________________________________________Referee NameReferee TitleReferee Institution ________________________________________________________________Address of RefereeV. CERTIFICATIONI certify that the information presented in this application and supporting documents is accurate, complete, and honestly presented. I wrote the essay myself. I also certify that any information submitted on my behalf, including the recommendation, is authentic. I understand that any inaccurate or misleading information, or omission, may be cause for rescission of the George Leadership Fellowship. Signature: ____________________________________Date: _________________________(If submitting electronically, please consider a typed signature as an electronic signature verifying your compliance.) VI. DEADLINEThe application deadline for the 2020-2021 George Leadership Fellowship is noon EST on Friday, March 13, 2020. This is not a postmark deadline. Fellowship applications must be received, by email or in person, by the Center for Public Leadership office by noon on Friday, March 13, 2020. If the letter of recommendation cannot be included with the other application materials, it may be mailed separately to the selection committee to be received no later than the deadline. If the letter of recommendation will be emailed, it must be in PDF or scanned form and include a signature. Interviews will take place on the HBS campus in April, 2020.Fellowship applications may be mailed, delivered in person, or emailed to:George Fellowship Selection Committee c/o Brandon WardCenter for Public Leadership79 John F. Kennedy StreetMailbox 124 (mailing); Taubman Building, First Floor (in person)Cambridge, MA 02138cpl_fellowships@hks.harvard.eduApplications will not be accepted by facsimile. Incomplete applications will not be reviewed.Questions about the application, guidelines, or eligibility requirements of the George Leadership Fellowship or questions about the program should be directed to:Brandon WardSenior Program ManagerCenter for Public LeadershipHarvard Kennedy Schoolbrandon_ward@hks.harvard.edu ................
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