Black Diaspora Cohort 2024 - WLW Fellow Enrollment and Payment

WOMEN LEADERS FOR THE WORLD - FELLOW APPLICATION
Section 1: Personal Profile
Legal name (as it appears on your passport):*

First NameLast Name
WLW Cohort

Black Diaspora
Mailing address: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number*

Area CodePhone Number
Birthdate: *

YearMonthDay
Date
Please share your age range

Below 3535 to 4545 to 5555 to 65Over 65
What is your racial or ethnic identity? If you identify with more than one identity, please check the racial/ethnic identities that apply.

African American/BlackAmerican Indian/Alaskan NativeEast AsianLatinx/HispanicMiddle EasternPacific IslanderSouth AsianWhite/CaucasianOther/Prefer to self-describe
Do you identify as LGBTQIA+?
How many years have you been working?
How did you hear about the Women Leaders for the World Fellowship?*
Section 2: Organizational Profile

WLW strongly recommends that fellowship projects have some level of organizational support. Please answer the following questions based on the primary organization where you are employed.
Organization Name
Organization sector

Not-for-profitFor-profitAcademiaSocial EnterpriseFilm and MediaPublic SectorOther
Organization Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization Email
example@example.com
Organization website
Organization Vision and Mission:
Organization Year Founded:
Organization Annual Budget (in US Dollars):
Organization Number of Employees:
Organization Number of Volunteers:
Geographic Area Served:
What is your job title with your organization?
How long have you been working with your organization?
Describe your role and responsibilities:
What other organizations are you affiliated with and what is your role with each?
What project will you focus on over the course of the fellowship? Please list the goals for the project.
Who is the target population it will serve? How many people will it serve and in what ways?
Will your fellowship project be based in your organization or is it a separate initiative? If it is a separate initiative, please answer the next 5 questions. If it is based in your organization, please skip the next 5 questions.
1. What organizational support do you have in place for your project?
2. Do you have a formal agreement with any organization to house your project?
3. Name of organizational affiliate
4. Describe the organization
5. What's your current relationship/role with this organization?
What's the current level of funding?
What is the staff/volunteer time committed to the project?
What other resources and supports are in place to accomplish your goals?
How will your community be different as a result of your efforts?
How will you know that you have achieved that impact? What data will you use to assess your impact?
Who are your collaborative partners currently? What new partnerships will you develop to implement your project?
Section 3: Your story

Please share some background on your professional path.
How and why is your work positioned to benefit from the WLW fellowship at this time?
What is your story? What drives your work?
Describe your biggest strengths as a leader:
Describe your biggest challenges as a leader:
Who do you consider to be in your network of support?
How do you anticipate this unique leadership education impacting you personally? What new skills are you hoping to develop and grow through this experience?
Have you had experience being coached or mentored in the past? What was beneficial in that experience? What was not?
Where would you like to see yourself professionally in the next 3 years?
Section 4: Resume and Recommendations

In order to be considered for WLW, please share your resume, and letters from two references who have known you for more than one year and can speak to your leadership capabilities.
Upload a copy of your professional resume or equivalent document here.

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Upload your first letter of reference here.

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Upload your second letter of reference here.

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Section 7: How did you hear about WLW?
How did you hear about WLW?

WLW AlumWLW Global AdvisorColleagueSocial MediaEmail/Flyer/BrochureReferralOther
Who referred you to WLW (if applicable)?
Section 8: Tuition Information

Tuition for the WLW fellowship is $6,000 USD, which includes: leadership education, community building sessions, one week in-residency including lodging, meals and transportation, fireside chats with global leaders, workshops with business experts, materials, seven months of ongoing group coaching, seven months of working with personal advisors.How Women Lead can provide partial scholarships, offered on a competitive basis taking into account your potential impact as described in your application and how much you can contribute towards the tuition. If you are interested in applying for a scholarship, please indicate the amount you would apply for.
If you are interested in applying for a scholarship, what amount do you request?
Section 9: Signature

Your signature below confirms that all information in this application is accurate and complete (Part 1 and Part 2), and that you accept the terms and conditions as outlined above. Your typed signature below will be accepted as the equivalent of your handwritten signature.
Legal name (as it appears on your passport) and date:
Should be Empty:

WOMEN LEADERS FOR THE WORLD - FELLOW APPLICATION

Section 1: Personal Profile

Section 2: Organizational Profile

Section 3: Your story

Section 4: Resume and Recommendations

Section 7: How did you hear about WLW?

Section 8: Tuition Information

Section 9: Signature