2024 Doers & Difference Makers Fellowship Application

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Before you continue: Are you applying for the Fellowship yourself?

If “yes,” then please proceed with filling out this form.
If “no” and you are wanting to nominate someone else, please use this form instead.

Visit here for more information on the Doers & Difference Makers Fellowship.
Please submit your application by 5 p.m. on June 7, 2024.

First name

Last name

First name phonetic spelling (if desired)
Example: "easy" = "ee-zee"; "alphabet" = "al-fuh-bet"

Last name phonetic spelling (if desired)
Example: "easy" = "ee-zee"; "alphabet" = "al-fuh-bet"

What town do you live in?

What county do you live in?

Please list your preferred email address.

Please list your preferred cell phone number.

Please upload a copy of your resume. PDF is preferred.

What positions do you hold in your community?

What is your professional title and what is the name of your current employer?

What organizations (professional or personal) are you affiliated with in your community?

If other, please describe:

How did you hear about the Doers & Difference Makers Fellowship? (Limit response to 100 words)

Tell us about your involvement in and impact on your community. What motivates you to do what you do? (Limit response to 250 words)

As a leader and a community member, what are some of the biggest challenges you face? How would you like to develop as a leader or individual in order to best meet those challenges? (Limit response to 250 words)

Who do you go to for professional advice? Why them? (Limit response to 250 words)

Why is now the “right” time for you to focus on developing yourself as a leader? (Limit response to 250 words)

If you had all the resources in the world, what would you do to build a better Colorado? (Limit response to 250 words)

The time commitment for this Fellowship can be described as a 9-month commitment starting in September 2024. The program involves three in-person, 1.5-2-day retreats in various locations across the state (September 6-8, 2024 in Denver; January 31 - February 2, 2024 location TBD; and May 2-4, 2025 location TBD). Separately, the Fellowship will involve six 90-minute virtual sessions, usually held on a weekday. The cohort will decide on the virtual dates and times together. Fellows also receive 1.5 hours a month of individual coaching, the timing of which is determined between the Fellow and their coach, but will start halfway through the Fellowship. There is no cost to participate in the Fellowship and travel costs will be reimbursed. Would you be able to reasonably meet these time requirements?

YesNo

Please list three references below.

Reference #1

First name

Last name

Email address

Cell phone number

Professional title / position(s) held in the community

Relation to applicant

Reference #2

First name

Last name

Email address

Cell phone number

Professional title / position(s) held in the community

Relation to applicant

Reference #3

First name

Last name

Email address

Cell phone number

Professional title / position(s) held in the community

Relation to applicant