stein fellowship application

March 1, 2025

Uncategorized

-25 Stein Fellow Application

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Step 1 of 5

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Section Break

Applicant Information

Name*

First Last

Email*

Preferred Phone Number*

Home Address*

Street Address City State ZIP Code

Work Information

Company*

Current Title*

Time at Company*

Company Phone Number*

Immediate Supervisor*

Company CEO*

Company Address*

Street Address Address Line 2 City State ZIP Code

Education

Undergraduate

College/University

Major/Concentration

Degree

Date Awarded

MM slash DD slash YYYY

Graduate

College/University

Major/Concentration

Degree

Date Awarded

MM slash DD slash YYYY

Volunteer and Community Involvement

Please list your most significant volunteer and professional memberships. (Note: your resume will provide you the opportunity to describe the activities listed.)

Organization #1

Dates

Project/Activity

Organization #2

Dates

Project/Activity

Office/Position Held #1

Organization

Dates

Office/Position Held #2

Organization

Dates

Uploads

Please attach your resume, references and personal statement.

Resume*

Accepted file types: doc, docx, pdf, Max. file size: 50 MB.

Letter of recommendation from employer*

Accepted file types: doc, docx, pdf, Max. file size: 50 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: 50 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, Max. file size: 50 MB.

Please record and upload a video, two minutes or less, with your answer to the following question:

What are three key steps an individual can take to create a community of opportunity where everyone has hope and can reach their full potential?

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. 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). I understand and am fully aware of the time commitment needed to make this a successful fellowship for myself, my mentor and my mentee.

How did you hear about the Stein Fellowship?*

Social Media

Referred by a Stein Fellowship Alumni

Referred by a Stein Fellowship Mentor

My place of employment

Other

Signature*