Bertha Challenge Fellowship 2023

Bertha Challenge Fellowship 2023

Application Form for Activists
Thank you for your interest in the Bertha Challenge.

Applications open on 23 May 2022 and close on 26 June 2022 (23:59 UTC). Anyone meeting the selection criteria may apply. Please ensure you have read through the Bertha Challenge application web page in full before filling in this form.

You will be asked to upload a brief resume/ CV of no more than three pages and the signed Memorandum of Understanding (MoU) from your prospective host organization. The MoU can be found here. Please print this out, sign, scan and upload as a PDF.

A PDF with the application questions can be found here. This is for reference only - please use the form below to submit your application. As this is an online form, we advise you to also copy and paste your responses into a separate document in case you experience any connection issues.

Try to be as concise as possible with your answers. Where relevant, word limits are provided below the question.

Once you have submitted your application you should receive a copy of your answers via email. We recommend that you save a copy of this for your records. We will send a confirmation email within a week to acknowledge receipt of your application. Please check your spam folder if it does not appear in your inbox. If you have not received this email within a week of submitting your application, please send us a message using the email address below.

We will be in contact by 11 November 2022, to let you know whether we would like to invite you for an interview.

If you have any questions that aren't answered on the application page or the FAQs page, please email berthachallenge@berthafoundation.org

This is the Bertha Challenge application form for activists. If you are an investigative journalist, please use this application form.

About You
Name *

First Name(s) Surname
Email *
example@example.com
We recognize the importance of creating a diverse cohort and are aware of the prevailing inequalities in accessing fellowship opportunities. We strongly encourage applications from women, people of minority genders, people of color and minority ethnic backgrounds.
Which of the following best describes your gender? This is an optional question.

Female Male Prefer not to say Other
How do you describe your race and ethnicity? This is an optional question.
Nationality *
Country of residence *
Have you previously been awarded a fellowship with any other organizations? Please give the name of the organization(s) and the dates of your fellowship(s). If you haven't been a recipient of a fellowship previously, please write 'n/a'. *

Your Work as an Activist
What is the geographical focus of your activism? *

0/100
How would you describe your day-to-day work as an activist? *

0/350
Please explain why you should be considered for this Fellowship. *

0/350
Please provide at least three examples of your previous work as an activist, and tell us why you are proud of this work. These examples can be included as links, or as file uploads below. Examples could include activist handbooks or materials that you have created, descriptions of tactics employed or media work developed. They should speak as closely as possible to the work that you plan to undertake as part of the Bertha Challenge. For instance, if you intend to create audio or visual materials as part of your Fellowship work, please share examples of similar work that you have made previously. *
Examples of work (file uploads)

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If the examples of your work uploaded above are in a language other than English, please provide us with a comprehensive summary of the material provided.

About your Bertha Challenge Project

Please note, if you are invited to interview you will be asked to deliver a short presentation on your proposed project.
Please outline the pitch for your final Fellowship product(s). The centerpiece of this Fellowship program is the work you will produce to communicate your findings to a specified audience. How you do this is entirely up to you. You might choose a project that focuses on developing an activist training curriculum, or a series of pamphlets, a short film, podcasts, an educational theatrical production or a series of public actions. You will receive up to $10,000 with which to do this. Please describe the Bertha Challenge project you will deliver should you be selected. Try to be as specific as possible. There are examples of previous projects in the short Fellow films on the Bertha Challenge website.
Project pitch: *

0/500
What people, groups, movements or audiences will your project serve and how? *

0/300
How are you connected to these people and groups? *

0/300
Imagine it’s December 2023 and your project has been completed. What would you like to have happened as a result of your Fellowship? *

0/300
What would joining the Bertha Challenge Fellowship cohort mean for your project? What would you bring to the cohort and what do you hope to gain from being part of an international network? *

0/200
Are you submitting a joint application with an investigative journalist? If so, please include their name and host organization here.

First Name(s) Surname Host organization

About your Host Organization
What's the name of your host organization? *
Please provide a link to their website or social media. *
Please provide a brief description of the work your host organization does, and the ways in which it will support you in delivering your Bertha Challenge project. *

0/300
What is your relationship to your host organization? If you are currently employed by your host organization, what are your day to day responsibilities? *

0/300
The Bertha Challenge is a full time Fellowship demanding a full time commitment. What practical plans will be put into place to ensure that you will be free to work full-time on your Bertha Challenge project? *

0/200

Supporting Documents
Please upload a brief CV/ resume of no more than three pages. This should be a PDF or Word document, saved with the following name format: LAST NAME_OTHER NAME(S)_CV
CV: *

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Please provide a list of 2-4 referees including their name, relationship to you and contact details. At this stage, we do not require reference letters.

Referees: *

	Name	Relationship	Email	Contact number
Referee 1
Referee 2
Referee 3 (optional)
Referee 4 (optional)

Please upload the Memorandum of Understanding (MoU) signed by you and your host organization. You can find this form here. Please save your MoU with the following name format: LAST NAME_OTHER NAME(S)_MOU
MOU: *

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Please tick the boxes to indicate your agreement to the following conditions if selected: *

	Tick to agree
The Bertha Challenge is a full-time Fellowship. Fellows are required to work full-time on their Bertha Challenge project.
Fellowship activities should be oriented around a final product(s). The product(s) must be made available in English and be open source.
Attendance of monthly Progress Update and Co-learning calls (amounting to 8 hours each month) are compulsory.
Fellows should not be in receipt of other forms of income during their Fellowship year without agreement from Bertha.

To ensure that this cohort of Bertha Fellows is able to be fully participatory, we require all applicants to be proficient in spoken and written English. *

I confirm that I completed this form myself

Bertha Challenge Fellowship 2023

About You

Your Work as an Activist

About your Bertha Challenge Project

About your Host Organization

Supporting Documents

And Finally...