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Governor's Innovation Fellowship Application
Applicants are required to have graduated from or are on track to graduate in spring of 2020, from a Connecticut University or College.
Applicant Personal Information
Name
First
Last
Home Address
Street Address
Address Line 2
City
State
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
ZIP Code
Contact Info
Phone
Email Address
Identified Gender
Male
Female
Prefer not to say
Are you a Veteran?
Yes
No
Prefer not to say
In your own words, describe your race or ethnic identity.
Applicant Academic Information
Applicants are required to have graduated from or are on track to graduate in spring of 2020, from a Connecticut University or College
Educational Institution
Is this institution in Connecticut?
Yes
No
Did you go to high school in Connecticut?
Yes
No
Town where your high school is located?
Name of your High School
Graduating College Major and/or Specialization:
Are you on track to graduate and be able to start a job before June 20, 2020?
Yes
No
Anticipated graduation date:
What is your current cumulative GPA on a 4.0 Scale?
Applicant Supporting Information
Please upload a copy of your current resume
Upload a file
One file only.
20 MB limit.
Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods.
Please upload any other documentation that would help illustrate why you should be considered a Governor's Innovation Fellow.
450 words maximum length per letter
Upload a file
One file only.
20 MB limit.
Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods.
Have you previously accepted an offer of employment at a job in Stamford,CT with a start date between 5/1/2020 and 8/1/2020 which may qualify you for inclusion in the Governor’s Innovation Fellowship?
Yes
No
Outside Program Job
Please upload a copy of the applicable job posting including Job Title, Scope of Work, and Location of Work
Upload a file
One file only.
20 MB limit.
Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods.
Please upload proof of your acceptance of an offer of employment
Upload a file
One file only.
20 MB limit.
Allowed types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods.
Does the Location of Work for this job specify that it will be in Stamford, CT?
Yes
No
Is this job full time?
Yes
No
Please provide a link to the company website.
Signature
Sign above
Have you participated in any/all of the following programs? Check all that apply.
CTNext Technology Talent Bridge Internship Program (TTB)
LAUNCH
UCONN Tip
I certify that all the information above is true, complete, and accurate to the best of my knowledge, and accept the obligation to comply with all terms and conditions of the Governor’s Innovation Fellowship and all applicable laws and ethical standards if funding is awarded as a result of my application
I Agree
I Do Not Agree