DYS Fellow Registration Form

Thank you for your interest in becoming a Designing Your Success (DYS) Fellow with New Sector Alliance!

Be sure to fill out the form completely. This is a multi-page form, and you may save your work and return at any time.

Fellow Name

First Name

Last Name

Email

Would you like to get updates on Designing Your Success and other Fellowship initiatives by New Sector Alliance? If so, we will ask you for your contact information below.

YesNo

Contact Information

Phone

Street

City

State

ZIP/Postal Code

Check if perm

My permanent address is different from my current address.

Permanent Street

Permanent City

Permanent State

Country outside of USA

Permanent ZIP/Postal Code

Program Information

What organization are you affiliated with?

Other Organization Name

Demographic Information

Age

Please Enter in Number

Comments, if you would like to further specify your gender identity:

Race/Ethnicity

Comments, if you would like to specify your cultural group or identity:

Languages Spoken (Other than English)

Are you an active member of the US military or a US military veteran?

Were/are you a first generation college student?

YesNoDecline to Answer

Which environment best describes your background?

DYS Fellow Pre-Survey

New Sector Alliance is interested in tracking the impact of the DYS program. Do you consent to the confidential use of your data for the purpose of reporting on and improving our program?

YesNo

My perceptions

When responding, think of how you compare to most people -- not just the people you know well, but most people in the world.

	Not at all like me - 1	2	3	4	Very much like me - 5
New ideas and projects sometimes distract me from previous ones
Setbacks don’t discourage me
I have been obsessed with a certain idea or project for a short time but later lost interest
I am a hard worker
I often set a goal but later choose to pursue a different one
I have difficulty maintaining my focus on projects that take more than a few months to complete
I finish whatever I begin
I am diligent

My Mindsets

Read each sentence below and mark the corresponding box that shows how much you agree or disagree with each sentence. There are no right or wrong answers.

	Strongly Disagree	Disagree	Mostly Disagree	Mostly Agree	Agree	Strongly Agree
You have a certain amount of intelligence, and you really can't do much to change it.
Your intelligence is something about you that you can't change very much.
No matter who you are, you can significantly change your intelligence level.
To be honest, you can't really change how intelligent you are.
You can always substantially change how intelligent you are.
You can learn new things, but you can't really change your basic intelligence.
No matter how much intelligence you have, you can always change it quite a bit.
You can change even your basic intelligence level considerably.
You have a certain amount of talent, and you can't really do much to change it.
Your talent in an area is something about you that you can't change very much.
No matter who you are, you can significantly change your level of talent.
To be honest, you can't really change how much talent you have.
You can always substantially change how much talent you have.
You can learn new things, but you can't really change your basic level of talent.
No matter how much talent you have, you can always change it quite a bit.
You can change even your basic level of talent considerably.

Thank you for sharing your thoughts, perceptions, and mindsets with out team!

Program Information

New Sector offers two Fellowship Tracks:

(1) Partnership Track: Fellows currently working with a workforce development or mission-driven organization apply to participate on behalf of their organization with the ultimate goal of bringing New Sector's pedagogy and curriculum back to their organizations to implement with other staff or beneficiaries.

In addition to participation in the Train-the-Trainer workshop training, Fellows will receive six months of program deployment support, access to online communities of practice with other organizations, and individual coaching sessions with New Sector's team of consultants and network. New Sector charges organizational partners $40,000 to train and support up to ten Fellows.

(2) Professional Development Track: The professional development track is for applicants who may or may not be working with a mission-driven organization currently, but would like to become a licensed facilitator of New Sector's pedagogy and curriculum. Fellows apply to participate in one of New Sector's Train-the-Trainer workshops, and then selects an organization or venue to pilot delivering the content. New Sector charges a $5000 tuition fee to become an individual licensed trainer.

Which location are you applying for?

Which Fellowship Track are you applying for?

Which organization do you currently work for?

What is your current job title?

New Sector Professional Development Track DYS Fellows are asked to pay a tuition of $5,000 for the 4-day Train-the-Trainer workshop. Fellows in the past have paid tuition on their own or worked with their employers to pay the tuition as part of their professional development. Please indicate how you wish to coordinate your tuition payments if accepted as a member of the upcoming cohort.

Please provide a brief justification for your request for a scholarship, including the contribution amount you are able/open to pay for this year-long professional development program.

How did you hear about New Sector?

If applicable, please provide the name of the person who referred you to our program.

Upload of written materials

Please upload only Word or PDF documents.

Please upload your resume or CV using the button below.

In addition to submitting a resume, we ask you to submit answers to two short essay questions. Please answer the three following questions in 300 words per question or less (600 words total), and include both answers in a single document as an upload using the button below.
(1) Please tell us why you are interested in introducing design innovation and strategies into your mission-driven work and how the New Sector program would contribute to your long-term success. (2) Please tell us about prior experience you have with facilitating small and large group workshops or trainings, including what you enjoy most and what you find the most challenging about this work.

Please remember to click SUBMIT on your application to finish the process! Thanks!

Contact Information for References

First and Last Name, Reference 1	First and Last Name, Reference 2
Company or Organization, Reference 1	Company or Organization, Reference 2
Email Address, Reference 1	Email Address, Reference 2
Phone, Reference 1	Phone, Reference 2
Relationship to Reference 1	Relationship to Reference 2
Relationship to Reference 1- Other	Relationship to Reference 2- Other