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New York Needs You Fellowship Program Application Overview

Congratulations on your decision to apply to the NYNY Fellowship Program. Please read this document
in its entirety. The following steps must be completed in order for you to be considered for the
Fellowship.

   (1) DEADLINE for submitting the NYNY online application form along with your essays, transcripts
       and resume is Monday, March 15, 2010, 5:00PM.
   (2) Please send your essays, resume and transcripts in one e-mail to
       applications@newyorkneedsyou.org. In the subject line of the e-mail, type “Fellowship
       Application” with your last name, then first name.
   (3) We will accept applications online and related materials, such as your essays and resume by e-
       mail. Any materials submitted in any other manner, except for transcripts and letters of
       recommendation, will not be reviewed unless you have requested and received a waiver from
       this requirement.
   (4) Note: Letters of recommendation must be submitted by U.S. mail by March 15, 2010, 5:00PM.


Online Application Form – http://www.surveymonkey.com/s/FellowshipApplication
The NYNY Fellowship application must be completed online and submitted electronically once all of the required
questions have been answered. The online application form questions can be found at the end of this document.
You are required to submit your responses in one sitting – you will not be able to save your work and return to
complete it later. Thus, we strongly encourage you to write out your responses before inputting your responses
in the online form.

The online application form asks for educational background, current employment, activities and achievements,
self-reported test scores and basic financial information.

Essays – submit by e-mail
Three essay questions must be completed before submitting your application. Prepare your essays carefully. We
consider your responses to the following questions important in the selection process. For each of the essay
questions below, please draft a response in 250 words or less.

   A. What are your professional goals and how can NYNY help you achieve those goals? Also, describe why
      you believe you are a good candidate for the NYNY Fellowship.
   B. Describe a significant obstacle that you have faced and how you overcame it or describe an experience
      that has significantly impacted your life.
   C. Describe a problem associated with your community (or another community that interests you) and the
      steps that you have taken (or would like to take) to address that problem.
   D. OPTIONAL ESSAY: If you feel there are extenuating circumstances of which the Fellowship Committee
      should be aware, please explain them here (e.g., inconsistent or questionable academic performance,
      weakness in your application).
New York Needs You Fellowship Program Application Overview


Resume – submit by e-mail
Please submit a one-page resume. The resume should generally contain the following:

    A. Full name, contact information (including address, phone number and e-mail)
    B. Education – college and high school (optional), start and end dates
    C. Work experience –companies at which you have worked or volunteered, start and end dates, and a
       description of your responsibilities
    D. Activities
    E. Awards and honors


Transcripts – submit by e-mail or mail
Please submit transcripts for your high school and for each college or university you have attended. Only
unofficial transcripts are required for your application to be reviewed. If you are selected for the NYNY
Fellowship, you will be required to submit official transcripts.

    •   Unofficial Transcripts should be submitted by e-mail. Please ensure that the scanned copy is legible.
    •   Official Transcripts should be submitted by mail.

Letter(s) of Recommendation
Please print the letter of recommendation form. Complete the top portion and submit it to the person who will
write your letter of recommendation. Please give them ample time to complete the form and submit the
recommendation. Submitting recommendations from friends or relatives is discouraged.

Permanent Resident Status (if applicable) – submit by e-mail
For U.S. permanent residents, please submit a copy of your green card, which authorizes you to live and work in
the United States, by e-mail with the other supporting documentation listed above.
New York Needs You Fellowship Program Application Overview


The NYNY Fellowship application must be completed online and submitted electronically once all of the required
questions have been answered. The online application form questions are listed below. We strongly encourage
you use this worksheet below to draft your responses, and then input them into the online tool
(http://www.surveymonkey.com/s/FellowshipApplication).

APPLICATION FORM PAGE 1
First Name
Middle Name
Last Name
E-mail Address
Mailing Address
     • Address
     • City/Town
     • State
     • ZIP/Postal Code
Home Phone Number
Cell Phone Number
Emergency Contact
     • Name
     • Relationship
     • Email Address
     • Phone Number
How did you hear about NYNY? Please
select all that apply.
NYNY recruiting event, NYNY e-mail,
Professor or Advisor, School
Organization, Non-profit organization,
Internet, Other (please specify)

APPLICATION FORM PAGE 2
Date of Birth (MM/DD/YYYY)
Gender
Ethnicity
    • American Indian/ Alaska Native
    • Asian
    • Black/ African American
    • Hispanic/ Latino
    • Native Hawaiian/ Pacific
        Islander
    • White
    • Other (please specify)
Highest Education Level Attained by
Parent #1
    • No High School Diploma Earned
New York Needs You Fellowship Program Application Overview

     • High School Diploma Earned
     • Some College
     • College Degree Earned
     • Some Graduate School
     • Graduate Degree Earned
     • Not Applicable
Highest Education Level Attained by
Parent #2
     • No High School Diploma Earned
     • High School Diploma Earned
     • Some College
     • College Degree Earned
     • Some Graduate School
     • Graduate Degree Earned
     • Not Applicable
If raised by a guardian, please select the
Highest Education Level Attained by
Guardian #1 (select N/A if not
applicable):
     • No High School Diploma Earned
     • High School Diploma Earned
     • Some College
     • College Degree Earned
     • Some Graduate School
     • Graduate Degree Earned
     • Not Applicable
If raised by guardians, please select the
Highest Education Level Attained by
Guardian #2 (select N/A if not
applicable):
     • No High School Diploma Earned
     • High School Diploma Earned
     • Some College
     • College Degree Earned
     • Some Graduate School
     • Graduate Degree Earned
     • Not Applicable
Citizenship Status (you will be required
to submit documentation)
     • U.S. Citizen
     • U.S. Permanent Resident
     • Other (please specify)

APPLICATION FORM PAGE 3
Current College or University
New York Needs You Fellowship Program Application Overview

     •   College or University Name
     •   Borough (if applicable)
     •   City/Town
     •   State
     •   Expected Graduation Date
         (MM/YYYY)
     •   Major (note if undecided)
     •   Current GPA (on a 4.0 scale)

List Awards and Honors:                                            Dates awards and honors
                                                                   received:
#1
#2
#3
#4
#5
#6

If you have attended other colleges you will be required to submit them on PAGE 4.
Other College or University
     • College or University Name
     • Borough (if applicable)
     • City/Town
     • State
     • Expected Graduation Date
        (MM/YYYY)
     • Major (note if undecided)
     • Current GPA (on a 4.0 scale)
Other College or University
     • College or University Name
     • Borough (if applicable)
     • City/Town
     • State
     • Expected Graduation Date
        (MM/YYYY)
     • Major (note if undecided)
     • Current GPA (on a 4.0 scale)

APPLICATION FORM PAGE 5
High School Information
    • H.S. Name
    • Borough (if applicable)
    • City/Town
    • State
    • Graduation Date (MM/YYYY)
New York Needs You Fellowship Program Application Overview

     •   Rank (if applicable)
     •   GPA

List High School Awards and Honors:                                    Dates awards and honors
                                                                       received:
#1
#2
#3
#4
#5
#6

Standardized Tests:
SAT Score (if applicable):
-- SAT – Reading
-- SAT – Mathematics
-- SAT – Writing
ACT Score (if applicable)

APPLICATION FORM PAGE 6
List all of your extracurricular activities during the last 2 years,   List the start and end dates of
including the organization and any leadership position held            your involvement with the
                                                                       noted extracurricular activities
#1
#2
#3
#4
#5
#6

APPLICATION FORM PAGE 7 – Financial & Employment Information
Family's Annual Gross Household
Income (include only whole numbers,
no symbols or decimals)
How many people in total are in your
household (including you)?
How many people in your household
are over 18 years old (including you)?
Have you qualified for or received funds
from the Federal Pell Grant program or
the New York Tuition Assistance
Program (TAP)?
If you are currently employed, please
list your employer, position, duration of
employment (in months). Also include
New York Needs You Fellowship Program Application Overview

your supervisor's name and telephone
number.
    • Company
    • Position
    • How long have you been
        employed (in months)
    • Supervisor's Name
    • Supervisor's Phone
Please select the statement that best
describes you.
    • I am currently employed
    • I am not currently employed,
        but have had a job in the last
        12 months
    • I am not currently employed
        and have not had a job in the
        last 12 months

APPLICATION FORM PAGE 8 – Letters of Recommendation
Recommender Information:
    • Name
    • Company or University
    • Address
    • Address 2
    • City/Town
    • State
    • ZIP/Postal Code
    • Email Address
    • Phone Number
Second Recommender Information
(optional):
    • Name
    • Company or University
    • Address
    • Address 2
    • City/Town
    • State
    • ZIP/Postal Code
    • Email Address
    • Phone Number

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NYNY Fellowship Application Overview

  • 1. New York Needs You Fellowship Program Application Overview Congratulations on your decision to apply to the NYNY Fellowship Program. Please read this document in its entirety. The following steps must be completed in order for you to be considered for the Fellowship. (1) DEADLINE for submitting the NYNY online application form along with your essays, transcripts and resume is Monday, March 15, 2010, 5:00PM. (2) Please send your essays, resume and transcripts in one e-mail to applications@newyorkneedsyou.org. In the subject line of the e-mail, type “Fellowship Application” with your last name, then first name. (3) We will accept applications online and related materials, such as your essays and resume by e- mail. Any materials submitted in any other manner, except for transcripts and letters of recommendation, will not be reviewed unless you have requested and received a waiver from this requirement. (4) Note: Letters of recommendation must be submitted by U.S. mail by March 15, 2010, 5:00PM. Online Application Form – http://www.surveymonkey.com/s/FellowshipApplication The NYNY Fellowship application must be completed online and submitted electronically once all of the required questions have been answered. The online application form questions can be found at the end of this document. You are required to submit your responses in one sitting – you will not be able to save your work and return to complete it later. Thus, we strongly encourage you to write out your responses before inputting your responses in the online form. The online application form asks for educational background, current employment, activities and achievements, self-reported test scores and basic financial information. Essays – submit by e-mail Three essay questions must be completed before submitting your application. Prepare your essays carefully. We consider your responses to the following questions important in the selection process. For each of the essay questions below, please draft a response in 250 words or less. A. What are your professional goals and how can NYNY help you achieve those goals? Also, describe why you believe you are a good candidate for the NYNY Fellowship. B. Describe a significant obstacle that you have faced and how you overcame it or describe an experience that has significantly impacted your life. C. Describe a problem associated with your community (or another community that interests you) and the steps that you have taken (or would like to take) to address that problem. D. OPTIONAL ESSAY: If you feel there are extenuating circumstances of which the Fellowship Committee should be aware, please explain them here (e.g., inconsistent or questionable academic performance, weakness in your application).
  • 2. New York Needs You Fellowship Program Application Overview Resume – submit by e-mail Please submit a one-page resume. The resume should generally contain the following: A. Full name, contact information (including address, phone number and e-mail) B. Education – college and high school (optional), start and end dates C. Work experience –companies at which you have worked or volunteered, start and end dates, and a description of your responsibilities D. Activities E. Awards and honors Transcripts – submit by e-mail or mail Please submit transcripts for your high school and for each college or university you have attended. Only unofficial transcripts are required for your application to be reviewed. If you are selected for the NYNY Fellowship, you will be required to submit official transcripts. • Unofficial Transcripts should be submitted by e-mail. Please ensure that the scanned copy is legible. • Official Transcripts should be submitted by mail. Letter(s) of Recommendation Please print the letter of recommendation form. Complete the top portion and submit it to the person who will write your letter of recommendation. Please give them ample time to complete the form and submit the recommendation. Submitting recommendations from friends or relatives is discouraged. Permanent Resident Status (if applicable) – submit by e-mail For U.S. permanent residents, please submit a copy of your green card, which authorizes you to live and work in the United States, by e-mail with the other supporting documentation listed above.
  • 3. New York Needs You Fellowship Program Application Overview The NYNY Fellowship application must be completed online and submitted electronically once all of the required questions have been answered. The online application form questions are listed below. We strongly encourage you use this worksheet below to draft your responses, and then input them into the online tool (http://www.surveymonkey.com/s/FellowshipApplication). APPLICATION FORM PAGE 1 First Name Middle Name Last Name E-mail Address Mailing Address • Address • City/Town • State • ZIP/Postal Code Home Phone Number Cell Phone Number Emergency Contact • Name • Relationship • Email Address • Phone Number How did you hear about NYNY? Please select all that apply. NYNY recruiting event, NYNY e-mail, Professor or Advisor, School Organization, Non-profit organization, Internet, Other (please specify) APPLICATION FORM PAGE 2 Date of Birth (MM/DD/YYYY) Gender Ethnicity • American Indian/ Alaska Native • Asian • Black/ African American • Hispanic/ Latino • Native Hawaiian/ Pacific Islander • White • Other (please specify) Highest Education Level Attained by Parent #1 • No High School Diploma Earned
  • 4. New York Needs You Fellowship Program Application Overview • High School Diploma Earned • Some College • College Degree Earned • Some Graduate School • Graduate Degree Earned • Not Applicable Highest Education Level Attained by Parent #2 • No High School Diploma Earned • High School Diploma Earned • Some College • College Degree Earned • Some Graduate School • Graduate Degree Earned • Not Applicable If raised by a guardian, please select the Highest Education Level Attained by Guardian #1 (select N/A if not applicable): • No High School Diploma Earned • High School Diploma Earned • Some College • College Degree Earned • Some Graduate School • Graduate Degree Earned • Not Applicable If raised by guardians, please select the Highest Education Level Attained by Guardian #2 (select N/A if not applicable): • No High School Diploma Earned • High School Diploma Earned • Some College • College Degree Earned • Some Graduate School • Graduate Degree Earned • Not Applicable Citizenship Status (you will be required to submit documentation) • U.S. Citizen • U.S. Permanent Resident • Other (please specify) APPLICATION FORM PAGE 3 Current College or University
  • 5. New York Needs You Fellowship Program Application Overview • College or University Name • Borough (if applicable) • City/Town • State • Expected Graduation Date (MM/YYYY) • Major (note if undecided) • Current GPA (on a 4.0 scale) List Awards and Honors: Dates awards and honors received: #1 #2 #3 #4 #5 #6 If you have attended other colleges you will be required to submit them on PAGE 4. Other College or University • College or University Name • Borough (if applicable) • City/Town • State • Expected Graduation Date (MM/YYYY) • Major (note if undecided) • Current GPA (on a 4.0 scale) Other College or University • College or University Name • Borough (if applicable) • City/Town • State • Expected Graduation Date (MM/YYYY) • Major (note if undecided) • Current GPA (on a 4.0 scale) APPLICATION FORM PAGE 5 High School Information • H.S. Name • Borough (if applicable) • City/Town • State • Graduation Date (MM/YYYY)
  • 6. New York Needs You Fellowship Program Application Overview • Rank (if applicable) • GPA List High School Awards and Honors: Dates awards and honors received: #1 #2 #3 #4 #5 #6 Standardized Tests: SAT Score (if applicable): -- SAT – Reading -- SAT – Mathematics -- SAT – Writing ACT Score (if applicable) APPLICATION FORM PAGE 6 List all of your extracurricular activities during the last 2 years, List the start and end dates of including the organization and any leadership position held your involvement with the noted extracurricular activities #1 #2 #3 #4 #5 #6 APPLICATION FORM PAGE 7 – Financial & Employment Information Family's Annual Gross Household Income (include only whole numbers, no symbols or decimals) How many people in total are in your household (including you)? How many people in your household are over 18 years old (including you)? Have you qualified for or received funds from the Federal Pell Grant program or the New York Tuition Assistance Program (TAP)? If you are currently employed, please list your employer, position, duration of employment (in months). Also include
  • 7. New York Needs You Fellowship Program Application Overview your supervisor's name and telephone number. • Company • Position • How long have you been employed (in months) • Supervisor's Name • Supervisor's Phone Please select the statement that best describes you. • I am currently employed • I am not currently employed, but have had a job in the last 12 months • I am not currently employed and have not had a job in the last 12 months APPLICATION FORM PAGE 8 – Letters of Recommendation Recommender Information: • Name • Company or University • Address • Address 2 • City/Town • State • ZIP/Postal Code • Email Address • Phone Number Second Recommender Information (optional): • Name • Company or University • Address • Address 2 • City/Town • State • ZIP/Postal Code • Email Address • Phone Number