Stein Fellowship Application

Volunteer Activities
Please list your most significant volunteer experiences. (Note: your resume will provide you the opportunity to describe the activities listed.)
Organization
Dates
Project/Activity
Organization
Dates
Project/Activity
Professional Organizations
Please list your most significant professional memberships and extracurricular activity. (Note: your resume will provide you the opportunity to describe the activities listed.)
Organization
Dates
Office/Position Held
Organization
Dates
Office/Position Held
Uploads
Please attach your resume, references and personal statement.
Resume*
Accepted file types: doc, docx, pdf, Max. file size: 300 MB.
Letter of recommendation from employer*
Accepted file types: doc, docx, pdf, Max. file size: 300 MB.
Submit a letter of recommendation from current (previous employer) employer on employer’s letterhead, including referral contact information (if employed less than 6 months.)
Letter of personal recommendation*
Accepted file types: doc, docx, pdf, Max. file size: 300 MB.
Submit a letter of personal recommendation from a co-worker or previous manager (non-family) with personal contact information for referral.
Personal Statement Video*
Accepted file types: mp4, mov, wmv, flv, webm, Max. file size: 300 MB.
Please record and upload a video, two minutes or less, with your answer to the following question:

Humans created poverty. How can we as humans solve for poverty in Northeast Florida?

Certification & Submission
Certification 1*
- I hereby affirm that the information provided on this application and on my resume is up-to-date, true and complete.
Certification 2*
- I hereby authorize United Way of Northeast Florida to contact the persons, schools, employers and other organizations named in this application and on my resume to confirm the information which I have provided and obtain additional information needed.
Certification 3*
- My immediate supervisor is aware of my application and understands that the time commitment will extend into business hours (on average two hours per week).
Certification 4*
- I understand and am fully aware of the time commitment needed to make this a successful fellowship for myself, my mentor and my mentee.
Signature*

Applicant Information