Edmund Hillary Fellowship Application Manager - C5: EHF Application

Edmund Hillary Fellowship Application Manager - C5: EHF application 06/02/2019, 10)31 PM
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Thank you for your interest in EHF and we look forward to getting to know you through the application process.
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The EHF application process is designed to get to know you as a global changemaker, learn about your work,
and assess your potential to create positive impact as part of EHF. sub
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A. INTRODUCTION 2-
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A1. Your first and last name *
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A2. Preferred email address * /c5-
ehf-
Primary email address we
app
should use to contact you. If
licatfrom EHF
you receive emails
ion) the same
already, please use
email address.
A3. Your venture name
Please identify the name of the

primary venture you're working
on. Feel free to leave it blank if
you're not currently working on
a venture, or it has no name.
A4. LinkedIn profile or online CV *
If you don’t have a LinkedIn

profile, please provide a link to
an online CV (e.g. a CV on
Google Docs or other site). If
you can’t provide either of
these, please attach your CV
in question B6.
https://ehf.submittable.com/submit/3bda5c85-4632-4fb3-b925-c9403d67356d/c5-ehf-application Page 1 of 7
A5. Websites of initiatives you have played a key role in developing or any additional online
profiles (e.g. Twitter or personal website)
Please separate multiple

website URLs with a comma
and a space.
A6. Have you applied to EHF before? *
Yes
No
A7. Are you applying as an investor or as an entrepreneur? *
Investor
Entrepreneur
A8. Are you a New Zealand citizen or permanent resident? *
Yes
No
A9. Your phone number, including country and city code *
--------------------------------------------------------------------------------------------------------------------
B. YOU AND YOUR WORK
B1. CREATING IMPACT: Describe your involvement with 1-3 high impact projects that you
have in the past, or are currently, playing a key role in developing *
- Please specify the initiative’s

name, its website, your role
and team, key outcomes
achieved, why you chose to
work on this project, and
approximately how much time
you currently spend on this
initiative (or identify that you're
no longer involved).
- For current projects, please
describe what progress have
you achieved recently and
outline the challenges ahead.
- If you’re exploring a new
project, please describe it
here.
If you are applying to EHF with

team members, please
describe projects that each of
your team members have been
involved with.
Limit: 350 words
B2. NEW ZEALAND & EHF: What is your current and intended connection with New Zealand?
Why do you want to connect more deeply with NZ and EHF? *
Here are some things to

include:
- What is your current
connection to NZ?
- What do you plan to do in NZ
and what might your first year
look like?
- What % of your time do you
plan to spend in NZ in the
coming 3 years and why?
- Why do you want to deepen
your connection to NZ?
- What would you contribute to
your cohort and what would
you want to receive?
If you are an NZ citizen or

permanent resident, please
describe the specific groups
and communities in NZ that
you're most connected to.
Limit: 270 words
B3. THREE MINUTE VIDEO: (Optional but highly recommended) Please paste video URL, and
password if applicable
Submitting a video is optional

but highly recommended.
Please note that if you don’t
submit a video with your
application, we will ask you to
send us a video if you
progress beyond the first stage
of our our selection process.
Please introduce yourself:

- What is the number one
problem you are driven to
solve, and why is this
important to you?
- How do you want to connect
with New Zealand and the EHF
community and why is this
important to you?
Please do the following:

- Use a device that works for
you (e.g. phone or laptop
camera).
- Check sounds levels are
correct.
- Talk as freely as you can.
- Make your video unlisted on
YouTube or password-
protected on Vimeo.
- Separate the URL and
password (if applicable) by a
comma and space.
- Please include team
members in your video.
Please don’t:
- Go over 3 minutes.
- Add background sounds.
- Read off a script.
- Feel like you need to create
film festival level video quality.
B4. ABOUT YOURSELF: Tell us about yourself *
Here are some things to

include:
- How have you contributed to
communities you have been
part of beyond your own
projects?
- What barriers have you
overcome to get to where you
are now?
- Where do you see yourself in
the future and where do you
need to grow to get there?
If you are applying to EHF with

team members, please tell us
about each of your team
members.
Limit: 200 words
B5. ANYTHING ELSE? Is there any other useful information we should consider in your
application?
Limit: 100 words
B6. SLIDE DECK: Upload any slide deck / additional materials

Acceptable file types: pdf, doc, docx, rtf, jpg, jpeg. Upload a short PDF slide deck if you
have one, and/or other materials that
are concise and relevant to your
Choose Files application (e.g. reference letters,
CV).
File size limit is 400MB.

Select up to 3 files to attach. No files
have been attached yet.
B7. RECOMMENDATIONS: Please name people you know who could make good EHF
candidates in future cohorts.
Please give their name, email

address, and LinkedIn URL.
Limit: 100 words
--------------------------------------------------------------------------------------------------------------------
C. BACKGROUND INFORMATION
We think it's important to know who is applying for the Fellowship. Information in this section will be used for identity
verification, cohort diversity, statistical analysis, and improving the programme's reach. Your details will remain
private and confidential as specified in EHF's Privacy Policy (https://www.ehf.org/privacy).
C1. Date of birth *
(Date format: MM/DD/YYYY)
C2. Country of citizenship *
C3. Other countries of citizenship, if applicable
List countries separated by a

comma and a space.
C4. Current country of residence *
C5. Current city of residence *
C6. How did you hear about EHF? *
EHF.org or social media Choose all that apply
Referred by an EHF Fellow or team
General referral
Immigration NZ website or NZ embassies/consulates
Other
C7. What industry are you primarily working within? *
Please choose the industry

that best describes your work.
If you selected "other", please tell us your industry here
C8. Gender you identify with
Woman
Man
Transgender, non-binary, genderfluid, or other
Prefer not to answer
C9. How would you describe your ethnic origin?
C10. Do you identify as LGBTTIFQQ?
Yes This includes lesbian, gay,

bisexual, transgender,
No
takataapui, intersex, fa’afafine,
Prefer not to answer queer, questioning, and/or any
other sexual or gender
minority.
(This is also referred to as
GLBTQIA+.)
C11. Do you consider yourself to have a disability?
Yes This can include, but isn't

limited to, physical disabilities,
No
long term illnesses, specific
Prefer not to answer learning difficulties, or mental
health issues.
--------------------------------------------------------------------------------------------------------------------
D. ALIGNMENT
D1. FELLOWSHIP RETREAT: If accepted into EHF, will you be able to attend a nine-day Fellow
retreat in November 2019 in Wellington, New Zealand? *
Yes All new Fellows are required to

attend this fellowship induction
No
retreat, though aren't expected
Unsure to move their family and/or
venture to NZ before
attending. We expect the
Fellow retreat to be in early
November 2019, however, this
is subject to change.
APPLICATION TERMS AND PRIVACY: By checking the box below, I agree to the EHF
Application Terms, including the privacy policy that forms part of those terms
(https://www.ehf.org/privacy)
Agree to Terms I agree with Terms Of Use *

You must check this box before you can submit.
PAYMENT
Fee
$350.00 USD - International - Entrepreneur - Individual applicant
Fee $350.00
Total: $350.00 USD
Card number MM / YY CVC Prefer to pay with PayPal?
(/submit/paypal/3bda5c85-4632-
4fb3-b925-c9403d67356d)
You will be redirected to

PayPal to finalize your
payment.
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Edmund Hillary Fellowship Application Manager - C5: EHF application 06/02/2019, 10)31 PM

A3. Your venture name

Please identify the name of the

A4. LinkedIn profile or online CV *

If you don’t have a LinkedIn

Please separate multiple

A6. Have you applied to EHF before? *

A7. Are you applying as an investor or as an entrepreneur? *

A8. Are you a New Zealand citizen or permanent resident? *

A9. Your phone number, including country and city code *

B. YOU AND YOUR WORK

- Please specify the initiative’s

If you are applying to EHF with

Limit: 350 words

Here are some things to

If you are an NZ citizen or

Submitting a video is optional

Please introduce yourself:

Please do the following:

B4. ABOUT YOURSELF: Tell us about yourself *

Here are some things to

If you are applying to EHF with

Limit: 100 words

B6. SLIDE DECK: Upload any slide deck / additional materials

File size limit is 400MB.

Please give their name, email

Limit: 100 words

C1. Date of birth *

(Date format: MM/DD/YYYY)

C2. Country of citizenship *

C3. Other countries of citizenship, if applicable

List countries separated by a

C4. Current country of residence *

C5. Current city of residence *

C6. How did you hear about EHF? *

EHF.org or social media Choose all that apply

Referred by an EHF Fellow or team

Immigration NZ website or NZ embassies/consulates

C7. What industry are you primarily working within? *

Please choose the industry

If you selected "other", please tell us your industry here

C8. Gender you identify with

Transgender, non-binary, genderfluid, or other

Prefer not to answer

C9. How would you describe your ethnic origin?

C10. Do you identify as LGBTTIFQQ?

Yes This includes lesbian, gay,

C11. Do you consider yourself to have a disability?

Yes This can include, but isn't

Yes All new Fellows are required to

Agree to Terms I agree with Terms Of Use *

$350.00 USD - International - Entrepreneur - Individual applicant

Total: $350.00 USD

Card number MM / YY CVC Prefer to pay with PayPal?

You will be redirected to

Submit Save Draft

(https://www.submittable.com/help/submitter) Technical Help (https://www.submittable.com/help/submitter) | Privacy Policy (h

Powered by (https://www.submittable.com?ref=poweredby) © 2019

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