Pickaway Fellows Application

Name(Required)
Address(Required)

Emergency Contact

Name(Required)

Employment Information

Address(Required)
Supervisor Name(Required)

Education

Highest level of education completed(Required)
This is for background information, only, and will not impact decisions.
Please list dates and programs of any previous leadership development initiatives or enhancement activities where you have participated.
This is for background information, only, and will not impact decisions.

Questions

Attachments

Please submit 2 letters of support for your participation.

One letter from your supervisor or employment institution to show their support as commitment to your participation in the Fellows program.

The second letter is your choice of professional or personal support for your participation in Fellows.
Examples for the second letter could be a professional colleague, personal friend, or Pickaway Fellow from previous classes.
Max. file size: 200 MB.
Max. file size: 200 MB.

Acknowledgements

Clear Signature
Your signature indicates your ability and willingness to attend all session in the entirety. Information will build from session to session; it is imperative to attend all sessions.

Tuition/Financial Obligations

The tuition for the Pickaway Fellows program is $700. The advisory committee highly recommends applicants not let financial concerns stand in the way of application as there are many resources to assist with tuition.

  • The first half of the tuition is due at the beginning of the program and the second half is due prior to the Washington DC session.
  • Tuition can be paid through personal resources, through an employer, a match from various sources, scholarships provided by businesses or agencies, or other combinations.
  • The applicant is responsible for obtaining these funds.
  • One additional financial obligation for each participant is travel to and from Columbus and Washington DC. All other fees and expenses for these sessions (hotel, food, transport, etc.) will be covered by the program.

Expectations

Location/Time

Sessions will be held in various Pickaway County locations from 8:00 am to 5:00 pm except where otherwise noted.

Attendance

Attendance is key to the experience that this program provides to the individual. Each component of the program is designed to provide insight, perspective and experience that will be used in leadership situations. Participants are expected to attend and engage fully in sessions, for the entire day, to be eligible to be designated a Pickaway Fellow.

Employer

Employer support is necessary as participation in this program requires day-long participation as well as multi-day sessions.

Attire

Each session will have an attire shared prior to the session convening. Business casual is the general dress code unless noted by facilitators. For sessions in Columbus and Washington DC, attire will be business formal as these are professional meetings.

homework

There will be some homework outside of the sessions, but all activities are focused on awareness of Pickaway County and leadership skills. For this program, work outside the session is designed for self-reflection, observation, application of concepts, and as a basis for discussion. None of the assignments will be overwhelming.

Post-Program

Fellows completing the program will be expected as to engage in the community. It is the hope of the advisory board, donors, appointing bodies, and others in the community that participants will put this experience into action to move Pickaway County forward.