2022 Blankley Fellowship Application Step 1 of 5 - Applicant Information 0% Applicant InformationName* First Name M.I. Last Name Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Date of Birth* Are you a citizen of the United States?*YesNoAre you authorized to work in the U.S.?YesNoHave you ever been convicted of a felony?*YesNoIf yes, explain EducationCollegeCollege Name*Degree*From* To* Did you graduate?*YesNoWe're sorry, but this fellowship is only open to those with a four-year degree from an accredited college or university.Address*Graduate SchoolGraduate School NameDegreeFrom To Did you graduate?YesNoAddressNOTE: If you are currently a student or graduated within the past five years, please provide a copy of your Official Academic Transcript. References Please list two professional and/or personal references.Reference #1Full Name*Email Address* Company/Institution*Title*Address*Reference #2Full Name*Email Address* Company/Institution*Title*Address* Attachments Please attach the following: Personal mission statement, describing your passion for and commitment to the conservative principles espoused by both Tony Blankley and the Steamboat Institute (limit 500 words) Writing sample (i.e., example of published work – limit 1,500 words) Personal essay – describing your experience, why you are deserving of this fellowship and what you plan to do in the future (limit 750 words) Official Academic Transcript (undergraduate or post-graduate) – Note: This requirement applies only to current students or to those who graduated from college or graduate school within the past five years. Professional résumé Links to 1-2 video samples of your work (for example, TV interviews or appearances, speaking engagements, or similar). Alternatively, you may provide a 2-minute self-made video in which you discuss a topic of importance to you. Two letters of recommendation – professional or personal references, including from members of the Selection Committee for the Tony Blankley Chair, Steamboat Institute Board or National Advisory Board, friends of the Steamboat Institute, current and former employers, academics, mentors and others. Personal Mission Statement* Drop files here or Accepted file types: docx, doc, txt, pdf. Please upload your personal mission statement in Word or PDF format.Writing Sample* Drop files here or Accepted file types: docx, doc, txt, pdf. Please upload your writing sample in Word or PDF format.Personal Essay* Drop files here or Accepted file types: docx, doc, txt, pdf. Please upload your personal essay in Word or PDF format.Official Academic Transcript Drop files here or Accepted file types: docx, doc, txt, pdf. Please upload your official academic transcript in Word or PDF format.Résumé* Drop files here or Accepted file types: docx, doc, txt, pdf. Please upload your professional résumé in Word or PDF format.Video Sample #1* Video Sample #2 Letters of Recommendation* Drop files here or Accepted file types: docx, doc, txt, pdf. Please upload two letters of recommendation in Word or PDF format. SignatureStatement of Authenticity* I hereby certify that the information provided in this application is true and complete to the best of my knowledge. Full Name*Today's Date* Share this
