|
Education Policy Fellowship Program NEW ENGLAND EPFPAPPLICATION BOOKLET
|
EDUCATION POLICY
FELLOWSHIP PROGRAM
For
People Seeking Better Results for Children and Youth
APPLICATION BOOKLET
We are very pleased you are considering the Education Policy Fellowship Program (EPFP).
ELIGIBILITY AND SELECTION PROCESS
EPFP invites your application if you have:
a commitment to personal and professional development on behalf of children and youth
a track record for making things happeninside and across agencies/companies/associations/organizations
substantive work experiences
a bachelor's degree or its equivalent
a full-time professional position
the endorsement and financial support of your employing organization, i.e., your sponsor
EPFP requires participation in training activities that are held in offsite meeting facilities. In addition, Fellows are expected to attend the two national conferences. Please consider these extra demands on your time in light of your current professional and personal schedule. If you cannot participate fully in EPFP, please do not complete the application. For additional program information visit the NE EPFP website http://www.cssr.us/epfp.htm
APPLICATION AND SELECTION SCHEDULE
MAY JUNE NE EPFP application material distributed.
MAY JULY Applications returned to NE EPFP Coordinators.
JUNE SEPT. Fellows notified of acceptance.
AUG -
SEPT. Fellowship program begins.
MAY 2007-2008 program ends
Final selection of Fellows is made by the NE EPFP Site Coordinator in consultation with sponsors.
INSTRUCTIONS
Please complete the entire application and submit it to the NE EPFP Site Coordinator:
Electronically - email to: billbryan@cssr.us
Hardcopy - mail to: William R. Bryan, Ph.D.
The Center for Secondary School Redesign
621 Wakefield Street
West Warwick, RI, 02893
The endorsement section must be completed for your application to be considered.
EDUCATION POLICY FELLOWSHIP PROGRAM
APPLICATION
|
PRIVATE NAME ___________________________________________________________________________________ last first middle nickname
PROFESSIONAL TITLE _______________________________________________________________________
DIVISION/DEPARTMENT ____________________________________________________________________
ORGANIZATION/INSTITUTION ______________________________________________________________
ADDRESS _________________________________________________________________________________
__________________________________________________________________________________________
OFFICE PHONE (area code + number) ________________________________________________________
OFFICE FAX (area code + number) ___________________________________________________________
E-MAIL ADDRESS___________________________________________________________________________
HOME ADDRESS __________________________________________________________________________ street city state zip
HOME PHONE (area code + number) _________________________________________________________
|
EDUCATION (Please cite most recent institution first)
|
UNIVERSITY/COLLEGE |
CITY, STATE |
MAJOR FIELD |
DEGREE |
DATE |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
OPTIONAL INFORMATION
|
PRIVATE RACE/ETHNICITY & GENDER ____________________________________________________________________ PRIVATE HOW DID YOU LEARN ABOUT EPFP? __________________________________________________________
|
EMPLOYMENT EXPERIENCE (Please list current position first) Do not substitute your resume for this section
|
PRIVATE TITLE ____________________________________________________________________________________
DATES OF EMPLOYMENT ___________________________________________________________________
NAME & ADDRESS OF EMPLOYER ___________________________________________________________
__________________________________________________________________________________________
DESCRIPTIONS OF DUTIES & ACCOMPLISHMENTS _____________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
|
|
PRIVATE TITLE _____________________________________________________________________________________
DATES OF EMPLOYMENT ___________________________________________________________________
NAME & ADDRESS OF EMPLOYER ___________________________________________________________
__________________________________________________________________________________________
DESCRIPTIONS OF DUTIES & ACCOMPLISHMENTS _____________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
|
|
PRIVATE TITLE _____________________________________________________________________________________
DATES OF EMPLOYMENT ___________________________________________________________________
NAME & ADDRESS OF EMPLOYER ___________________________________________________________
__________________________________________________________________________________________
DESCRIPTIONS OF DUTIES & ACCOMPLISHMENTS _____________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
|
EPFP OUTCOMES
Please provide narrative responses of one page or less to each of the following questions focused on the personal and professional outcomes of EPFP.
1. What does your organization do? Whom do you serve?
2. To enhance your capacity as a leader, what are your three learning priorities?
3. How would your participation in EPFP benefit your organization?
ENDORSEMENT: TO THE SUPERVISOR/EMPLOYING AGENCY REPRESENTATIVE
Fellows participate in monthly off-site meetings, and IEL sponsors two national meetings for fellows across all 14 state sites. The Leadership Forum heightens Fellows' understanding of leadership challenges and of themselves as leaders. The Washington Policy Seminar increases Fellows' knowledge of national policy issues and processes and gives them a chance to explore the impact of national policy on their work. Please see the Center for Secondary School Redesign website for a program description (www.cssr.us). Further detail is available on the national EPFP website (www.epfp@iel.org). The NE EPFP program tuition, plus travel-related costs to the national meeting are paid by the employing agency and/or the Fellow. Your signature ensures (1) your employee's release time for full participation in the program and (2) payment of program related costs. If you have any questions, please contact the NE EPFP Site Coordinator, William R. Bryan, Ph.D. (401-965-8345 or billbryan@cssr.us).
|
_______________________________________ Name of Applicant |
_______________________________________ Applicant's Signature |
|
_______________________________________ Supervisor's/Sponsor's Name |
_______________________________________ Supervisor's/Sponsor's Signature |
Supervisor's Title _______________________________________________________________________
Supervisor's Division/Department __________________________________________________________
Supervisor's Organization/Institution ________________________________________________________
Supervisor's Office Address ______________________________________________________________
____________________________________________________________________________________
Supervisor's Office Phone _______________________________________________________________
Supervisor's Office Fax _________________________________________________________________
Supervisor's E-mail Address _____________________________________________________________