Application Fellowship Application Thank you for your interest in participating In the Fred's Footsteps Fellowship Program. Please complete & submit this form below. PLEASE NOTE - Due to some issues we are currently experiencing with this form, we recommend that you type your answers into a word document and copy into the form. Should you have any problems submitting the form, please email the word document with your responses to christine@fredsfootsteps.org. We apologize for the inconvenience. Applicant's Name: Applicant's Company: Position: Local Office Address: Applicant's Home Address: Email: Phone Number: In a brief personal statement, tell us about yourself and comment on your views about leadership. Why do you want to participate in a leadership development program? Please highlight your community involvement, experience and contributions (i.e., leadership programs, board roles, fundraising efforts, volunteerism, etc.) Where do you see yourself professionally in the next 3-5 years? What do you hope to gain from this experience from a personal and/or professional basis? Have you ever participated in a similar program to the Fred's Footsteps Fellowship Program? What do you hope to give back to Fred’s Footsteps and your broader community through this program? References: Please provide the name and contact information for two professional references. Please note that while it is not required, preference is given to candidates with strong references from a current Fred’s Footsteps supporter. Professional Reference #1 Name Company Position Email Professional Reference #2 Name Company Position Email Please attach your resume Please attach your headshot