Fellowship Application Form

1 Please enter your details exactly as they appear on your passport or government issued ID.

First Name:

Middle Name(s):

Last Name:

Date of Birth:

Gender:

Citizenship:

Permanent Personal Email ID(No work or university email address):

Primary Phone (incl. country code):

Secondary Phone (incl. country code):

Skype ID:

Permanent Address(house/ apartment number, street)

City

State/ Province

Country :

Are you currently at your permanent address?

If no, please provide your current address below.

Current Address (street, house and apartment number)

City

State/ Province

Country :

2 Background InformationHow did you learn about the Saath Fellowship?

Have you ever been convicted of a felony?

If yes, please explain

For International Applicants:Do you currently have a passport?

If yes, list passport issuing country

If yes, when does your passport expire?

3 Educational BackgroundAre you currently enrolled as an undergraduate student?

If yes, when do you expect to graduate?

Are you the first person in your family to attend college?

Yes: No:

Please provide details of your studies below

3.1 Undergraduate Degree (For Foreign Internationals Only)University

School/ Department

Location (city, country)

Type of Degree

If other, please specify

Year Received

3.2 Graduate DegreeUniversity

School/ Department

Location (city, country)

Type of Degree

If other, please specify

Year Received

3.3 Post-Graduate DegreeUniversity

School/ Department

Location (city, country)

Type of Degree

If other, please specify

Year Received

3.4 Additional DegreesDo you have any additional degrees or educational qualifications? Please specify.

4 Professional Background

4.1 Work ExperienceDo you have any full-time work experience?

Total length of full-time work experience (years, months):

If yes, please list details of experience

Employer 1: Period

Employer Name

Location (city, country)

Role/ Title

Responsibilities:

Employer 2: Period

Employer Name

Location (city, country)

Role/ Title

Responsibilities

Employer 3: Period

Employer Name

Location (city, country)

Role/ Title

Responsibilities

4.1.1 Additional Work ExperienceDo you have any additional work experience relevant to the fellowship? Please specify.

4.2 Internship ExperienceDo you have any internship experience?

If yes, please list details. Include host organization or employer name, role, location, and dates.If yes, please describe your responsibilities.

4.3 Volunteer ExperienceHave you ever volunteered for an extended period of time (e.g. more

than 4 months)?Total length of time as a volunteer (years, months):If yes, please list details (organization or program name, dates, location).If yes, please describe your responsibilities.

4.4 Fellowship ExperienceHave you ever been awarded a fellowship or research grant?If yes, please list details (fellowship or program name, dates, location).Have you ever participated in a study abroad or international program?If yes, please list details (program and institution name, dates, location).

International Applicants: Have you ever worked, volunteered, or studied in India?If yes, please specify.

5 Qualifications

The following section is designed to help us understand the knowledge, skills and qualifications that you will bring to the Fellowship. We also want to get to know you better and to find out what motivates you.When planning your answers, please emphasize your experience and qualifications most relevant to the Fellowship. If you are currently working full-time, you may wish to highlight any relevant professional experience. If you are a recent graduate, you may wish to focus on any relevant academic and volunteer experience. Think broadly about your experience and how it relates to the fellowship. Use examples and avoid generalizations.For each question, be as specific as possible, drawing from your experience. Stay within the word limit.

5.1 Share your story. Why do you want to work with Saath as a Fellow at this moment in your life? Answer in 350 Words

What brought you here? How does this experience fit into

your larger professional and individual development?

Why do you specifically want to apply to the Saath Fellowship?

5.2 Share your philosophy of service. Answer in 250 Words -What does service mean to you? -Why do you want to serve? -What specific experiences have

shaped your philosophy of service?

-What motivates you when serving people and communities?

5.3 Outline three (3) skills that you would apply during the course of this Fellowship when working with communities in development. Answer in 250 Words

List the three skills Please give concrete examples of

how you learned each of these skills.

What or who motivated you to learn these skills?

5.4 Tell us about a time when you had to navigate a new, unknown or unfamiliar environment. Answer in 250 Words

What challenges did you face? What did you do to cope? What were some of the lessons

you learned? What remain areas that you

continue to struggle with?

5.5 Taking a broader look at development, please respond to the following questions. In your response, please relate and explain how you think these ideas will influence and shape your months in service.

1. Is progress intrinsic to development?

2. Some development initiatives are successful and some aren’t. Even when a problem has been identified, why is there sometimes no tangible change or effect?

3. In your experience and observation, does everyone get an equal voice in deciding what development means for their community and/ or country?

6 Organizational Capacity Building SkillsPlease identify your professional skills based on your experience. Check all that apply.

Project Strategy and Design Marketing and Communication

Project Planning Developing Digital Content

Strategizing New Initiatives Mobile App Development

Logical Framework Analysis Website design and development

Theory of Change UI/ UX Design

Progress Reports Graphic Design

Project Management and Implementation Videography

Community Organizing Event planning

Meeting Facilitation Fundraising (grant writing, presentations)

Data Donor reporting

Monitoring and Evaluation Teaching

Data collection (quantitative / qualitative) Workshop Facilitation

Data analysis (quantitative / qualitative) Training teachers

Data visualization Curriculum Design

Management and Information Systems Quantitative Research

Designing M&E Systems and processes Qualitative Research

Implementing M&E system Technical Writing

People Management Creative Writing

Social Media OtherIf other, please describe.

6.1 Areas of InterestPlease prioritize your areas of interest based on the choices below.

1st:2nd:3rd:Please specify.

6.2 Language Skills: Please list any languages that you speak and indicate your proficiency.

Language Speaking Reading Writing

6.3 Resume: Please attach/ send a copy of your most current resume in PDF format.

6.4 Interview PreferencesInterviews will be held in person. Please note that Saath cannot provide financial assistance for any travel arrangements that you may have to make to attend an interview. All the interviews will be held in Ahmedabad in March 2017. Please list possible dates for attending the interview.

6.5 DisabilityYou are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition. Please select.

Yes, I have a disability (or previously had a disability)No, I don't have a disabilityPrefer not to answer

Please also list down any other specific needs/ requirements that you have.

6.6 Accommodation: Do let us know what kind of accommodation would you prefer while staying here for the internship and what will be your approximate budget for the same and we will facilitate the process for you.

Declaration and Signature

I certify that all the information provided herein is true to the best of my knowledge. (Please enter your first and last name to indicate consent.)

Name Signature

Place Date