Applicant Personal Information

Name

Home Address

Contact Info

Identified Gender
 
 
 
Are you a Veteran?
 
 
 

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
Is this institution in Connecticut?
 
 
Did you go to high school in Connecticut?
 
 
Are you on track to graduate and be able to start a job before June 20, 2020?
 
 

Applicant Supporting Information

One file only.
20 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
450 words maximum length per letter
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?
 
 

Outside Program Job

One file only.
20 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
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?
 
 
Is this job full time?
 
 
Sign above
Have you participated in any/all of the following programs? Check all that apply.
 
 
 
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