EDUCATION POLICY FELLOWSHIP PROGRAM
APPLICATION
Biographical Data
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Education
Please cite most recent institution first.
University/College City, State Major Field Degree Date
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Employment Experience
Please list current position first. Do not substitute this section with your resume.
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Please provide narrative responses of one page or less to each of the following questions focused on the personal and professional outcomes of EPFP.
- What does your organization do? Whom do you serve?
- To enhance your capacity as a leader, what are your three learning priorities?
- How would your participation in EPFP™ benefit your organization?
Endorsement: To the Supervisor/Employing Agency Representative
Fellows generally participate in weekly or semi-monthly meetings conducted on-site and attend two four-day conferences that bring together Fellows from all EPFP™ sites. The first of these conferences, the National Leadership Forum, is held in the late fall, usually near one of the EPFP™ state locations, and the second is held in the early spring in Washington, DC. The program costs plus travel-related costs to both national meetings 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 EPFP™ Coordinator in your area or call the National Office, the Institute for Educational Leadership, in Washington DC at (202) 822-8405.
Name of applicant:
_________________________________________________________________Applicant's signature:
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Supervisor/Sponsor's Name:_________________________________________________________________Supervisor/Sponsor's Signature:
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Supervisor's Title:
_________________________________________________________________Supervisor's Division/Dept:
_________________________________________________________________Supervisor's Organization/Institution:
_________________________________________________________________Supervisor's Office Address:
__________________________________________________________________________________________________________________________________Supervisor's Office Phone: __________________
Supervisor's Office Fax: ____________________
Supervisor's E-mail Address: ________________