2024-2025 Application Form: White-Riley-Peterson Policy Fellowship

Applications are due by May 28, 2024 at 11:59 pm

Name (as you would like it to appear in our participant directory) Name (as you would like it to appear in our participant directory) First Last
Occupation Title
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Best Mailing Address Best Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Work Phone Work Phone - ### - ### ####
Mobile Phone Mobile Phone - ### - ### ####
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Please confirm your ability to participate in the intensive Fellowship convening September 22 – 26, 2024, monthly webinars, beginning in September, the development of a policy project for your state; and attendance at the 50 State Network National Conference in the spring of 2025 as part of your state team.

Please confirm your ability to participate in the intensive Fellowship convening September 22 – 26, 2024, monthly webinars, beginning in September, the development of a policy project for your state; and attendance at the 50 State Network National Conference in the spring of 2025 as part of your state team. Yes, I am able to participate. No, I am not able to participate.
Briefly explain what you would like to learn by becoming a Fellow in the White-Riley-Peterson Policy Fellowship.
(one paragraph)
The Fellows comprise a diverse group of individuals from many different backgrounds and vantage points within the education and policy-making communities. What strengths do you believe you can offer the group?
(one paragraph)
What policy project in the realm of afterschool and summer learning do you believe could be advanced in your state in partnership with the statewide afterschool network and Network lead in the next two to three years?
(two-three paragraphs)
Please briefly describe your willingness and ability to work closely with the state afterschool network to support their policy work.
Please list any special dietary needs.