The FELLOWSHIP - Expression of Interest

Name

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Gender

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Date of Birth

Date

Current Occupation

Current Employer

Tell us about your current role and responsibilities.

EDUCATION AND QUALIFICATIONS

Highest Level of Education Achieved

Have you previously studied outside your home country? If yes, give details.

English Proficiency

Please list any certificates, diplomas, degrees or vocational training completed

COMMUNITY AND LEADERSHIP EXPERIENCE

Have you been involved in community work, leadership, volunteering, education, health care, youth development, ministry, social work, music, disability support or other community initiatives? If yes, please provide details

Have you ever supervised, mentored or led others? If yes, please tell us about that experience.

ABOUT YOU

What are you most passionate about?

What challenge in your community concerns you the most?

Tell us about a time you overcame a difficult situation.

What strengths do you believe you would bring to The Bridge Fellowship?

What personal qualities do others often recognise in you?

Why the FELLOWSHIP?

Why are you interested in becoming a Fellow?

What do you hope to learn through this experience?

Why do you believe you are a good candidate for this opportunity?

How do you think this fellowship could help your community?

FUTURE IMPACT

What change would you like to see in your community over the next 5 years?

If selected, how would you use the skills and experience gained through The Fellowship when you return home?

Describe a project, business, organisation or initiative you would like to start, strengthen or expand in your community.

What does leadership mean to you?

COMMITMENT

The Fellowship requires participants to return home and actively apply their learning in their community. Are you committed to this expectation?

Are you willing to participate in mentoring and reporting after returning home?

Do you have family and community support for participating in this program?

PRACTICAL INFORMATION

Do you currently hold a passport?

Have you ever had a visa refused by any country?

If yes, please explain why.

Are you able to provide police clearance, health checks and other required documentation if selected?

REFERENCES

Name - Reference 1

First NameLast Name

Relationship to you

Organisation

Organisation Email

example@example.com

Organisation Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

UPLOAD REFERENCE

Name - Reference 2

First NameLast Name

Relationship to you

Organisation Name

Organisation Email

example@example.com

FEOrganisation Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

UPLOAD REFERENCE

Is there anything else you would like us to know about you, your story, your dreams, or why you believe you would be a strong Fellow?

I have read The Fellowship Terms and Conditions and FAQ's (see The FELLOWSHIP webpage)