Civic Innovators Fellowship Application Form (Spring 2023)

Civic Innovators Fellowship Application Spring 2023  📮

Thank you for your interest in becoming a Civic Innovator!

If you'd like to draft your responses to the short answers in a separate document, please make a copy of this google doc. 

TO LEARN MORE ABOUT CIVICS UNPLUGGED:
Visit our website at https://www.civicsunplugged.org/ 
Read our Fellowship deep dive paper
Still have questions? Feel free to reach out to our Admissions Director, Michaela Davenport at Michaela@civicsunplugged.org.

PLEASE READ THIS BEFORE YOU PROCEED...
The Fellowship is only open to current high school or gap year students. 
The Spring 2023 application deadline is January 31, 2023, but we review applications as they come in and prioritize early applicants.
While CU loves and encourages an international community, our Fellowship runs in English. Please provide responses to you application questions in English. 
You will receive a confirmation if the form has been successfully submitted.



PERSONAL INFORMATION 👤
First Name 😃
This question is required
Last Name 😄
This question is required
Email Address 📧
Please use personal email (no .org or .edu emails). If you do not have a personal email, click here to create a gmail account. 
Please enter a valid email
Please use personal email (no .org or .edu emails). If you do not have a personal email, click here to create a gmail account. 
Phone Number 📞
This question is required

Do you currently live in the United States? 
Yes
No
Please choose an answer


Country 🌎
US
City 🏙
This question is required
Street Address 🏡
This question is required
High School Name 🏫
This question is required
How did you hear about us? 🙉
Was it through a friend? A parent? A newsletter? An ad? A social media post? Please be as specific as possible so we can give credit where it's due to the person/organization who referred you.
A Friend
A Newsletter
A Teacher
An Organization
An Ad on Google
An Ad on Social Media
A School Club
Other
This question is required
Was it through a friend? A parent? A newsletter? An ad? A social media post? Please be as specific as possible so we can give credit where it's due to the person/organization who referred you.
Nominator Name
If you were not nominated, please leave blank (but congrats for taking initiative on your own!)
If you were not nominated, please leave blank (but congrats for taking initiative on your own!)
Parent/Guardian Name 📛
This question is required
Parent/Guardian Email 📧
Please enter a valid email
Parent/Guardian Phone 📞
This question is required
High School Graduation Year 🎓
This question is required
Birthday 🎂
/
/
Please enter a valid date
My Preferred Pronouns Are:
This question is required
(Optional) What is your LinkedIn account url?


I Identify my ethnicity as:
Check all that apply
Black
White
Hispanic or Latino
Asian
Native American
Native Hawaiian and Other Pacific Islanders
Other
Prefer Not to Disclose
This question is required
Check all that apply
Do you have access to a mobile phone/desktop/or laptop?
This question is required
Do you have access to reliable internet?
This question is required


SHORT ANSWERS 📝
QUESTION 1: Think of a team, community, or movement—real or fictional—that you admire or would love to be a part of. What about that collective inspires you?
1-2 paragraphs
This question is required
1-2 paragraphs
QUESTION 2: Think of a problem within your town, state, country, or other community. What is the problem and how would you go about trying to fix it?
1-2 paragraphs.
This question is required
1-2 paragraphs.
QUESTION 3: What is something you created or worked on that you are proud of? Why are you proud of it?
1-2 paragraphs. 
This question is required
1-2 paragraphs. 
Question 4: What skills would you like to improve on during this Fellowship and why?
3-5 sentences. 
This question is required
3-5 sentences. 
QUESTION 5:  What do you do in a situation when you cannot seem to find the right solution to a problem?
3-5 sentences.
This question is required
3-5 sentences.
Anything else you would like to add?
This can be any other info you think is relevant to help us evaluate your application. It is optional. 
This can be any other info you think is relevant to help us evaluate your application. It is optional. 
(Optional) Nominate a friend to participate!  👤 👤
Nominee's First Name
Nominee's Last Name
Nominee's Email
In 1-2 sentences, why are you nominating this student for the Civics Innovators Fellowship?
Please note: this description will be sent to the student when they are notified of their nomination.
Please note: this description will be sent to the student when they are notified of their nomination.
Submit



For any questions, contact our Admissions Director, Michaela Davenport, at michaela@civicsunplugged.org