SECTION 1: GENERAL INFORMATION Welcome to the Immigrant Justice Fellowship 2018 Application The Immigrant Justice Fellowship is an eight-month, part time fellowship across six regions in the state of California. Fellows will be placed in the following regions: Orange County, Inland Empire, Los Angeles, Central Valley, Silicon Valley, and Sacramento. Fellows will be partnered with a host organization in their local region for a total of 20/hrs per week. There will be one fellow per region. The fellowship will begin in January of 2018 and conclude in August of 2018. Fellows will be placed in social justice organizations throughout California and work closely with their host organization to incorporate and strengthen the inclusion of immigrant justice issues in conjunction with the organization s social justice work. Immigrant Justice fellows will receive a monthly leadership award of $2,000. INSTRUCTIONS: 1. Before you begin, read the Application Guide and Frequently Asked Questions (FAQ's) and/or visit our website. 2. COLLECT all required information and documents before completing your application. 3. At the end of this online application, you will be asked to: Provide two professional references. Upload ONE document with your resume and essay responses. Essay prompts can be found at the end of the application guide. 4. Use the bottom arrows at the bottom to navigate through the application. 5. The progress bar at the top indicates your level of completion. 6. Be as accurate as possible and check for errors. Read all examples. 7. If you need to continue working on your application, it will automatically save where you last left off until fully completed. 8. In total, it will take 45 to 90 minutes to fully complete the application, including uploading your documents. NOTE: The fellowship is NOT an extension of Dream Summer. It is a completely separate
program. We do, however, encourage Dream Summer Alumni to apply. IMPORTANT: Applicants MUST be 18 years or older by January 1, 2018 in order to apply. Please apply to a listed region, if you live within comfortable traveling distance of and are actively engaged with and possess a working knowledge of the surrounding community. **The application relies on cookies to save information and applicants must utilize the same computer to continue the application process, if returning to complete it on a different day.** DEADLINE: FRIDAY, NOVEMBER 17, 2017 at 11:59 PM PST SECTION 1: PERSONAL INFORMATION PURPOSE: If selected, this information will be used for travel purposes and mailing of important documents, etc. INSTRUCTIONS: Be as accurate as possible and check for errors. Read examples below the field. No punctuation necessary. 1. Name (as it appears on your government/state issued ID) *Note: Foreign passports are acceptable forms of government issued ID Ex: Maria Raquel Lemus First Name Middle Name Last Name Date of Birth (As it appears on you government/ state issued ID)
IMPORTANT: Applicants MUST be 18 years or older by January 1, 2018 Ex: 06-05-1995 Sex (as displayed on you government/state issued ID) Select the option that best applies to you. IMPORTANT: If you have both an SSN and an ITIN, mark the SSN option. What is an ITIN? http://www.irs.gov/individuals/general-itin-information Select the option that best applies to you. What is DACA? http://1.usa.gov/1fv8dqg IMPORTANT: Your response will NOT affect your acceptance to the fellowship. Best Phone Number Ex: XXX-XXX-XXXX
Alternate Phone Number Ex: XXX-XXX-XXXX Email Email (reentry) 2017-2018 Permanent Address Provide your address for 2017-18. REMINDER: The Immigrant Justice Fellowship does not provide housing nor reimbursement for housing during the program. STREET Ex: 675 S. PARK VIEW STREET City Ex: LOS ANGELES State Ex: CALIFORNIA Zip Code: Ex: 90057 What will be your primary mode of transportation?
If you marked other for primary mode of transportation, please explain. SECTION 2: EDUCATIONAL INFORMATION SECTION 2: EDUCATIONAL INFORMATION Select your highest level of education completed as of January 1, 2018? If you clicked other, please write your highest level of education. Full name of current school or last school you attended. If applicable. Example: University of California, Los Angeles (UCLA) Majors(s) / Minor(s) If applicable Ex: Sociology
Graduation Date/Expected Graduation Date Month-Year (ex. June 2017) Are you currently employed? Place of employment (if applicable) : SECTION 3: ADDITIONAL INFORMATION SECTION 5: DEMOGRAPHIC INFORMATION PURPOSE: Answers will NOT affect your acceptance to the fellowship. Data retrieved from this survey will remain anonymous and is for statistical purposes only. How do you identify your ethnic background? (Please mark all that apply.) African African American Arab Asian
Asian Pacific Islander Black Brown Caribbean Caucasian Chicana/o Hispanic Indigenous Latina/o Middle Eastern Native American Southeast Asian South Asian Not Listed Other Country of Origin: How do you identify your sex? (Please mark all that apply) Female Male Intersex Gender-nonconforming Prefer to not disclose Other How do you identify your gender identity? (Please mark all that apply)
Woman Man Transgender Gender-nonconforming Genderqueer Genderfluid Two-Spirit Prefer not to disclose Other: How do you identify your sexual orientation? (Please mark all that apply) Lesbian Gay Bisexual Fluid Queer Asexual Pansexual Heterosexual Prefer not to disclose Other Gender Pronouns Ex: Her, She, He, Him, They, Them, etc
Do you have a preferred name you would like to be addressed as other than the name listed on your government issued I.D.? Is there anything else you would like to share about your identity? (OPTIONAL) How did you find out about the Fellowship? (Please mark all that apply) Dream Summer Alumni School Advisor Facebook Twitter Website Organization Email Listserve Other Which Dream Summer alumni told you about the fellowship? Which school advisor told you about the fellowship?
Who told you about the fellowship on Facebook? Who told you about the fellowship on Twitter? What website told you about the fellowship? What organization told you about the fellowship? Which email listserve distributed information about the fellowship? What other person/place told you about fellowship? SECTION 4: FELLOWSHIP PLACEMENT INFORMATION
SECTION 3: FELLOWSHIP PLACEMENT INFORMATION Listings below are based on regions the fellowship will be based in. Select the region for which you are applying. Selected region should be an area with which you are familiar and in which you will be living for the entirety of the program, from January to August 2018. CALIFORNIA What city in the Central Valley do you live closest to? Bakersfield Fresno Merced Tulare What city in the Silicon Valley region do you live in? SHORT RESPONSE: Describe your relationship to the region and why you are invested in working with the immigrant community of this region. (4-5 short sentence response)
Is there a specific organization you think would be a strong host for this fellowship? Please provide the name and contact information of the organization you think would be interested in hosting a fellow. ex: UCLA LABOR CENTER 675 S. PARK VIEW ST, LOS ANGELES, CA 90057 All participants are REQUIRED to participate in four retreats. The retreats will be held in Los Angeles, CA. Are you able to attend all four retreats during the following dates? (Attendance is MANDATORY) Retreat #1: Retreat #2: Retreat #3: Retreat #4: January 12-14, March 24-25, June 2-3, August 17-19, 2018 2018 2018 2018 (3 days) (2 days) (2 days) (3 days) Each week fellows will be required to work at their host organizations for 20 hours as part of the fellowship. Can you commit to this?
Are there prior commitments that coincide with the fellowship's time frame from January to August 2018? Please list any weekly commitments you will have from January to August 2018, including school, work, and/or other community involvements. (Example: I go to school for 15 hours per week.) Commitment Hours Per Week Commitment 1 Commitment 2 Commitment 3 Commitment 4 Commitment 5 SECTION 5: APPLICANT SKILLS, TALENTS, AND INTERESTS SECTION 5: APPLICANT SKILLS, TALENTS, AND INTERESTS Language Fluency Write in the language(s), other than English, you are fluent in and identify the level of fluency for each one. (If applicable) Speaking Writing Beginner Intermediate Advanced Beginner Intermediate Advan
Language 1 Language 2 Language 3 Please rate your skill level in all areas below, according to your knowledge and expertise. Rating system: 0-5, with 0 representing no experience and 5 representing strong experience and mastery. IMPORTANT: This information will be used to match you with an appropriate fellowship placement. Media & Communication Skills Art Creation (Ex: muralist, painter, etc) 0 1 2 3 4 5 Performance Art (Ex: Theater, etc) Photography Language Interpretation Public Speaking Workshop Facilitation Graphic Design Social Media Video Editing
Web Design. Professional Skills 0 1 2 3 4 5 Budget Management Curriculum Development Data Entry Event Planning Report/Grant Writing Outreach and Recruitment Research Data Analysis. Community Organizing Skills 0 1 2 3 4 5 Strategic Planning Door Knocking/Canvassing Corporate Research Leafletting Leading Public Rallies and Assemblies
Other Skills If you feel that you have skills which were not covered by the categories above, please list them here and rank your proficiency on a scale of 1-10. Other Skill 1 Click to write Label 1 0 1 2 3 4 5 Other Skill 2 Other Skill 3 Mark THREE skills you wish most to develop during the 2018 Immigrant Justice Fellowship. Art Creation (Ex: muralist, painter, performance, photography etc) Budget Management Curriculum Development Data Analysis Data Entry Event Logistics and Outreach External Organizing (house visits/door knocking) Fundraising Grant Writing Graphic Design Language Interpretation Public Speaking Social Media Strong Writing Skills Video Editing Web Design
Other (enter information below) Short Response: Select one of the skills you checked above and describe how you would like to develop this skill throughout the course of the fellowship. Mark THREE areas you wish to engage in the most throughout the fellowship. Education Health Justice Immigrant Rights Worker Rights LGBTQ Rights Mass Incarceration and Deportations Racial Justice Transformative Justice Other (enter information below) Short Response: Select one of the areas and explain why you want to engage in this area of work.
We are constantly attempting to expand our host organization pool to include a variety of different identities and spaces. Is there a specific community you would like to engage with through your work in the fellowship? (i.e. LGBT, API, Black, Southeast Asian, Central American etc.) Yes (please list answer in the adjacent box) No Is there anything else you would like to share with the Fellowship Selection committee that has not been addressed in other parts of the application? (If there isn't, please fill in by using "N/A") SECTION 6: PROGRAM ASSESSMENT SECTION 4: References and Required Documents
Please provide two references in the space below. References can be: a professor, supervisor at an organization, past or current employer, student organization, faith group, etc. The reference must have knowledge of your involvement and experience in immigrant rights work, and explain why you are a strong candidate for the fellowship. References will be contacted to do a small survey of your candidacy for the fellowship. References Full Name Relation to Applicant Email Phone Number Reference 1 Reference 2 Resume/Essay Prompt Responses Please submit your resume and responses to essay prompts in ONE document. (PDF preferred but Word File is acceptable. Allowed file types:.pdf,.doc,.docx.) Resume (No more than ONE page) Essay Prompts (At least 2 pages, no more than 3 pages) Please clearly label and separate your responses to each prompt. 1. Tell us about yourself. How have your other identities impacted your life experiences and shaped who you are? Examples of what to consider: gender, class, sexual orientation, ethnicity, ability, religion and anything else that you believe contributes to who you are. (750 words max) 2. Why are you interested in participating in the fellowship? How will your participation support your leadership and professional growth as it relates to addressing the needs of immigrant communities in the region you are applying to? (750 words max)
3. Describe your current or future connection to immigrant rights work. What specific problem concerns you the most given the current status of immigrant rights? Describe a project you would like to develop and implement over the eight-month fellowship. (750 words max) **Directions/Tips: Remember to proofread your document for any spelling and grammar errors before submitting. For Essay Prompts: Be as descriptive and detailed as possible. New Times Roman font,11-12 size. Minimum 1 page up to 2 pages max (single spaced) File must be less than 2 MB. Powered by Qualtrics