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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)

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Page 1: fis.org.nzfis.org.nz/assets/Uploads/SchemeDocuments/803114_20150727_14…  · Web viewPrevious support from Vodafone New Zealand Foundation? Have you or an organisation you are a

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.

Page 2: fis.org.nzfis.org.nz/assets/Uploads/SchemeDocuments/803114_20150727_14…  · Web viewPrevious support from Vodafone New Zealand Foundation? Have you or an organisation you are a

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)

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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)

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Page 3: fis.org.nzfis.org.nz/assets/Uploads/SchemeDocuments/803114_20150727_14…  · Web viewPrevious support from Vodafone New Zealand Foundation? Have you or an organisation you are a

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)

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Who is the contact person at the organisation that supports your application?

Contact name:

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Contact position:

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Contact number:

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Contact mobile:

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Contact email:

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Page 4: fis.org.nzfis.org.nz/assets/Uploads/SchemeDocuments/803114_20150727_14…  · Web viewPrevious support from Vodafone New Zealand Foundation? Have you or an organisation you are a

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)

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Attach a copy of your CV with the completed application form and email to [email protected].(PDF or Word version)

Page 5: fis.org.nzfis.org.nz/assets/Uploads/SchemeDocuments/803114_20150727_14…  · Web viewPrevious support from Vodafone New Zealand Foundation? Have you or an organisation you are a

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:

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Relationship:

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Best contact number:

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Contact email:

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Referee two

Contact name:

Click here to enter text.

Relationship:

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Best contact number:

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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.