A Digital Path to Entrepreneurship and Innovation for Latin America

A Digital Path to Entrepreneurship and Innovation for Latin America - Spring 2018

Only applications from Argentina, Brazil, Colombia, Costa Rica, Ecuador, El Salvador, Guatemala, Honduras, Mexico, Nicaragua, Panama and Peru will be considered. The deadline to submit this application is now January 2, 2018.

You can learn more about the program by clicking here . And you can read more about the eligibility requirements by clicking here. If you have questions, please email Cassandra Balfour at cbalfour@icfj.org.

Directions for the application:

Please don’t use all caps but a mix of small and capital letters.

Personal Information

Given Name - (should include first and middle names)

Surname/Primary Name - (should include all family names)

Alternate Name - (Nickname or name you go by)

Gender

Date of Birth (Month-Day-Year)

Citizenship Country

If applicable, please list any other countries you have citizenship with

Personal Email

Professional Email

Home Phone Number

Mobile Phone

Current Home Street Address

Current City

City of Birth

Country of Birth

Current Home State/Province

Current Home Postal/Zip Code

Legal Permanent Residence Country

If applicable, please list any other country you have legal permanent residence in.

Current Employer

Current Position

Business Phone

Business Street Address

Business City

Business State/Province

Business Postal/Zip Code

Business Country

Skype

Facebook

Twitter

Professional and Personal Goals

Please describe your organization. Is it print, radio, TV, online, a combination or something else? Does it have a political affiliation? What is its estimated audience (newspaper circulation, TV viewership, unique monthly visitors, etc.)? What else would you like to tell us about your organization?

Tell us about your responsibilities. Do you supervise others in the organization? How many? If you are a reporter or columnist, what do you cover? What else would you like to tell us about your job?

Please include a short biography (one paragraph including relevant education, professional experience, achievements and travel to the U.S.)

Please upload your CV/Resume

Essays

Please attach an essay (approximately 500 words) explaining why you wish to participate in the program, what you want to learn during the fellowship in the U.S. and how you will use this experience and digital media skills to help your organization.

Please explain what kinds of digital projects you'd like to work on as part of the program. If you don't have a clear idea for a project now please explain your areas of interests regarding digital media entrepreneurship. Approximately 250-500 words.

Employment Experience

Please list your past employment experience starting with the most recent.

Organization (I):

Start Date:

End Date:

Position:

Duties:

Organization (II):

Start Date:

End Date:

Position:

Duties:

International Experience

Have you ever participated in an ICFJ program before?

Yes

If yes, which program and when?

Have you ever participated in a program sponsored by the U.S. Department of State or a U.S. Embassy?

Yes

If yes, which program and when?

Do you have a valid passport? Please note that your passport must be valid at least 6 months after your arrival in the United States.

Yes

Briefly describe any overseas work or travel.

Education

Briefly list any higher education degrees, institutions and dates

References

Please provide two references

Reference 1

Name

Phone

Organization and Title

Reference 2

Name

Phone

Organization and Title

Supporting Documents

Please provide up to two of your most recent stories, projects, or other work samples. You can either upload the samples as documents or include links in the space provided below.

Please provide up to two of your most recent stories, projects, or other work samples.

Agreement to Program Conditions

I, the undersigned, understand and agree that the International Center for Journalists (ICFJ), as program administrator, is under no obligation to select me or any other applicant for this program. I agree to all terms and conditions

Applicant's Signature (type name).

Date

How did you hear about this program?

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