dfp application 2010

8/9/2019 DFP Application 2010

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Deshpande Fellowship Program2010 Application

Please furnish the following information. Please print/type clearly in CAPITALLETTERS only.

Part I. Basic Information

NameFirst Middle Last

Date of Birth / / Sex Female MaleDay Month Year

Telephone (10digits) Home: Mobile:

AddressStreet Address Block District

City State Country Pin Code

Part II. Background Information

Please provide your educational information from 10th standard onwards.Name and Address ofInstitution

Degree Language Medium Score

Please provide the following information on your family members.Father Mother Sibling Sibling SpouseName

Qualification

Occupation


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AnnualIncome

Please rate your language proficiency (mark with an X).English Kannada Hindi Other

:Oka

yGood

Great

Okay

Good

Great

Okay

Good

Great

Okay

Good

Great

SpeakingReadingWritingComprehension

Part III. Experience

Please select your areas of expertise (mark with an X). If Other, please specify.Environment Education Natural Resources

Health Advocacy

Other

:

Agriculture LivelihoodsOther:

Are you currently working in the Deshpande Foundation Sandbox region?Yes No

Please tell us about your professional experience, including volunteer work.Experience One

Organization

Position

Location

Dates From (month/year)To(month/year)

Responsibilities

Experience Two

Organization

PositionLocation


Responsibilities

Experience Three

Organization


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Position

Location


Responsibilities

Part IV. Letters of Recommendation

Please provide the name, designation, and contact information of two people who willprovide us with letters of recommendation on your behalf. Your recommendations shouldbe from senior officers at your workplace or academic institution who know you well andcan attest to your qualifications for participation in the Deshpande Fellowship Program.Please see the last page of this application for the recommendation template.

Reference OneNameDesignationRelationshipTelephoneE-mail

Reference TwoNameDesignationRelationshipTelephoneE-mail

Part V. Short Essay Questions

Please answer the following questions to the best of your ability.

Why is this fellowship important to you at this juncture in your career? What do youexpect to take away from this fellowship?

Please describe some of the accomplishments you have achieved and challenges youhave faced, either in your professional or personal life.


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Please share with us some issues you are passionate about. Describe how you seeyourself contributing to the resolution of these issues.

Please describe one program or idea that you know of that has worked well for theunderprivileged. Why do you believe this program achieved success?

Part VI. Miscellaneous

1. Application Fee. All applicants are required to submit an application fee ofINR 500for their applications to be considered. This application fee should be submitted in theform of a check made out to BVB-DCSE or by direct deposit. The direct deposit shouldbe made out to BVB-DCSE and is payable to Hubli through Syndicate Bank.

Direct Deposit Number (ifapplicable):

2. How did you hear about the Deshpande Fellowship Program?

NewspaperWord of MouthNotice Board Bulletin/Posted FlyerWebsite (please specify):


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Referral (please providename):Other (please specify):

Part VII. Submission

Please submit your completed application by e-mail at [email protected], or by mail:

The Deshpande Foundation- DCSE BuildingBVB College of EngineeringVidyanagar

Hubli 580031 Karnataka

Deshpande Fellowship Program2010 Recommendation Template

Letter of Reference

for:

Request to the Recommender:

Thank you for furnishing this recommendation. Please help us to know if the DeshpandeFellowship Program (DFP) is suitable for the applicant. We are looking for candidates whoexhibit entrepreneurial aptitude, immense potential for growth, leadership qualities,passion, and a privilege to working with the underprivileged. Keeping these requirementsin mind, please write a letter that, at a minimum, addresses the following:

1. For how long and in what capacity have you known the candidate?

2. Please describe some of the qualities that you appreciate most in the candidate.3. What are some of the areas in which you think the candidate needs to strengthen

himself/herself?4. How do you think the candidates participation in the DFP can strengthen the

candidates abilities as a social entrepreneur?

In addition, please indicate your understanding of the candidate in the following areas (S:Strongly Agree, A: Agree, D: Disagree, N: Not Applicable):

S A D N

Shows high commitment to dealing with social issues

Welcomes innovation and new ideas

Keen on learning new skills and perspectives

Is among the top 3% of human resources you have instructedHas high potential for leadership in your organization or developmentsector

Your Name
mailto:[email protected]:[email protected]


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Designation

Address

Telephone

Email

Signature Date

When you have finished your letter, please return it to the candidate so that she/he cansubmit it. For more information on the program, please contact [email protected] orProgram Manager Chinnababu at 9740011883. Thank you for your submission. We lookforward to reading your recommendation!
mailto:[email protected]:[email protected]

dfp application 2010

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