2024-2025 VOIS Fellowship Application Please contact Ana (ana@circlesnwa.org) with any questions or concerns. Section 1: Basic Information Name * First Name Last Name What Circles cohort did you graduate from? * Cohort 1 Cohort 2 Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Preferred Method of Contact * Phone call Text Email Date of Birth * MM DD YYYY Section 2: Personal Information What is your gender identity? * Male Female Prefer to describe If you prefer to describe your gender, please describe here: What are your preferred pronouns? What best describes your race/ethnicity? * Black or African American Hispanic or Latino/a White American Indian or Alaska Native Marshallese or other Pacific Islander Asian Middle Eastern More than one race (specify below) Other (specify below) If you selected "More than one race" or "other," please specify here: Section 3: Open Response Questions Personal Motivation and Experience: Describe a personal experience that has motivated you to pursue community leadership and shaped your perspective on advocacy and change. * Overcoming Barriers: What are the biggest challenges you face in speaking up or taking on leadership roles in your community, and how do you plan to overcome these barriers while participating in the VOIS Institute? * Skill Development: The VOIS Institute prioritizes skills such as effective storytelling, advocacy techniques, networking, mentorship, and media training. Which of these skills are you most interested in developing, and how do you see them benefiting your community leadership goals? * Skill Application: Think about the skills you are most interested in. How do you envision these skills benefiting your community leadership goals? * Vision of Success: What would success look like for you in this program? * Section 4: Schedule & Commitment If selected to be a VOIS Fellow, will you be able to commit to regular Wednesday meetings from 6-8pm in Fayetteville? * Yes No Unsure If selected to be a VOIS Fellow, will you be able to commit to occasional weekend or additional weekly meetings? (If childcare is provided) * Yes No Unsure Is there anything else you'd like us to consider when reviewing your application? Thank you! Your application will be reviewed.
