Application form questions
Your details
Name:
Click here to enter text. /Address:
Click here to enter text. /Phone number:
Click here to enter text. /Mobile number:
Click here to enter text. /Email address:
Click here to enter text. /Overview of proposal
Please provide an overview of what you propose to do with the Fellowship. (350 words or less)
Click here to enter text. /How do you propose to make a difference?
What is the difference you hope to make with the Fellowship (outcomes) and how will this
impact on youth health & development sector capability, policy or practice?How does this link to engaging young people in meaningful learning?
(350 words or less)
Previous support from Vodafone New Zealand Foundation?
Have you or an organisation you are a part of received funding/support from the Vodafone New Zealand Foundation before? If yes, please describe below (organisation, project, Year)
Click here to enter text. /A supporting organisation
Does your Fellowship application have the support of a your employer or a nominated academic institution? If successful, what sort of supervision support would you receive?
(350 words or less)
Who is the contact person at the organisation that supports your application?
Contact name:
Click here to enter text. /Contact position:
Click here to enter text. /Contact number:
Click here to enter text. /Contact mobile:
Click here to enter text. /Contact email:
Click here to enter text. /About you
How will the Fellowship enhance your capacity to lead in the youth health & development sector? Include examples from your experience in the sector.
(350 words or less)
Attach a copy of your CV with the completed application form and email to .
(PDF or Word version)
Referees
Three people that will be providing a written reference.
(One of them should be a mentor. Please provide contact details for those who would be providing your written references. We will not require written references or make contact with your referees unless you are short-listed.)
Referee one
Contact name:
Click here to enter text. /Relationship:
Click here to enter text. /Best contact number:
Click here to enter text. /Contact email:
Click here to enter text. /Referee two
Contact name:
Click here to enter text. /Relationship:
Click here to enter text. /Best contact number:
Click here to enter text. /Contact email:
Click here to enter text. /Referee Three
Contact name:
Click here to enter text. /Relationship:
Click here to enter text. /Best contact number:
Click here to enter text. /Contact email:
Click here to enter text. /