AMI Fellowship Application

Become a Farm and Food Systems Fellow!

Submit this application to join the 2021-2022 Cohort!

Early Deadline | February 10 ~ General Deadline | March 10

Be prepared to complete this form in one sitting - unfortunately, you will not be able to save and return to your answers. Fellowship Director Jessa Fowler is happy to answer any questions or concerns at jessa@amifellows.org.

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COVID-19 precautions will apply to the 2021-2022 Fellowship. Farm Fellows will operate as a family unit and may be subject to testing prior to arrival, a quarantine on the Allegheny Farm, and limits to extracurricular excursions and visitors. Outreach and Education components may be reduced and will be distanced, masked, and outdoors when possible. Community Fellows will also follow safe workplace precautions.
The Basics
Name *

First Name Last Name
Preferred Name
(to be listed on program documents)
Address *

Street Address

Street Address Line 2

City State / Province

Zip Code Country
E-mail *
example@example.com
Phone Number *
How did you hear about this Fellowship? *
Pronouns (Ex: they/them, she/her, he/his)
Your responses will be kept private and secure and this information will not be used for a discriminatory purpose.
Will you be 18 or older by the start of the Fellowship? *
Will you be available to start the Fellowship on the start date, May 17, 2021? *
If not, please explain how you anticipate balancing the Fellowship orientation with your other commitments.
I understand that AMI's Farm and Food Systems Fellowship includes six months of Farm and Food Study and one year of Community Action at an AMI work placement site in Highland or Augusta Counties, VA. *
Resume
Help us learn a little bit more about you and your journey! Please be sure to include:
- Your training and education, including any degrees, received or anticipated.
- Any relevant work, skills, and experiences.
Please save as: First Name Last Name_Resume
Resume (PDF) *

Cancel of
Statement of Purpose
Make the case for your Fellowship. Write a 1-2 page statement that explains:
- Why do you want to be an AMI Fellow?
- What skills and experiences will you bring to the Fellowship?
- What kind of work would you like to be involved with during the Community Action Year?
- How do you hope the Fellowship will prepare you for your future goals? (Or, how do you hope it will provide clarity on what you want to do?)
Please save as: First Name Last Name_Statement of Purpose
Statement of Purpose (PDF) *

Cancel of
Portfolio Piece (Optional)
To help us better understand who you are and what you might bring to the program, you may choose to submit an example of a project that represents your interests and/or skills. Portfolio pieces may include a sample of a project, photos of something you are proud of, a recipe you created, etc.

Please save as: First Name Last Name_Portfolio
Portfolio Piece (PDF)

Cancel of
Additional Information
Have you ever been convicted of any criminal offense by a civilian court or by military authorities? *

Yes No
Have you ever been adjudicated or held responsible as a juvenile offender of any criminal offense by a civilian court or by authorities? *

Yes No
Are you now under charges for any offense or are any civil suits pending against you? *

Yes No
Are you now on probation or parole? *

Yes No
Please explain if you listed "yes" to any of the above questions.
References

Please provide contact information for 3 professional references.
Name *

First Name Last Name
Position/Title *
Relationship to you *
Email *
example@example.com
Phone *
Name *

First Name Last Name
Position/Title *
Relationship to you *
Email *
example@example.com
Phone Number *
Name *

First Name Last Name
Position/Title *
Relationship to you *
Email *
example@example.com
Phone *
DISCLAIMER AND SIGNATURE
I certify that, to the best of my knowledge, all information contained within this application is true and complete. I understand that misrepresentation in any statement may be considered sufficient reason for refusal of admission to the program or dismissal from the program. In addition, I certify that I have reviewed the application requirements in this document and agree to comply.
Signature

Clear
AMI provides equal employment opportunities (EEO) to all Employees, Fellows and Applicants without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, genetic information, marital status, amnesty or status as a covered veteran in accordance with applicable Federal, State and local laws.
Should be Empty:

The Basics

Resume

Statement of Purpose

Portfolio Piece (Optional)

Additional Information

References

DISCLAIMER AND SIGNATURE