GANDHI FELLOWSHIP 2012 - APPLICATION FORM

Please e-mail completed application to apply@gandhifellowship.org Mention Subject line GFP 2012 Please ensure you have completed the form in all aspects Age: Male / Female Date of Birth: /D: /M: (Years) /Y: /

Name: Sex:

Contact Details Permanent address: Mailing address: Phone: Email:

Information about your family (Parents, siblings)

Name Relationship Age Occupation Employer

(1). Academic Record (In reverse chronological order, starting from the latest/highest to Class X) Degree Institute /University Period % Rank / Achievement From To

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Application Form 2012

Language Known

Speak

Read

Write

(2) Let us know of any extra-curricular activities undertaken by you, in the specified fields. Sports

Arts (Music, Dance, Painting, Sculpture, Photography) Literature (Articles, Poems, Essays, Short stories, Editorial Positions) Science & Technology (Experiments, Gadgets, Web, Social Networking) NSS (Social Service) NCC (Cadet Corps) NGO Internship

Entrepreneurship

Any other, not covered above

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Application Form 2012

(3) Which one among the above specified; would be your most significant achievement and why? (100 words)

(4) Briefly describe any positions of leadership and responsibility undertaken e.g. School Head Girl; Football Team Captain; Head In-Charge College Fest. What were the challenges, obstacles & difficulties you faced? How did you overcome them? Share your learnings and/or failures from the same, with examples. (200 words)

(5) Summary details of Work Experience Starting with the first job and ending with the present/last one) Name of the Part Period of Designation Name & Organization Time Employment on Designation / Full Appointment of Direct Time From and Superior To Leaving (M/Y) (M/Y)

Gross Package Per Annum

Reason for Leaving

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(6) Based on your work experience, give instances of the tasks undertaken. What were your achievements, failures and learnings? How are the learnings relevant to help you resolve issues in real-life situations? Give examples. (200 words)

(7) Please describe yourself as a person. (250 words)

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Application Form 2012

(8) Describe an event or situation in life which impacted you significantly. What changes it has caused in your actions/behavior and decisions/life-choices. (100 words)

(9) Describe a person who is your role model in view of his/her significant contribution(s) to the community, society or humanity at large. Which of her/his qualities you find most admirable? To what extent you are able to apply them in your life? (100 words)

(10) What has been your biggest achievement and failure till date? What are your learnings from them? How are you applying them in your life? (150 words)

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Application Form 2012

(11) When was the time, you were stretched the most? How was your experience? What did you learn from it? How are you applying it in your life? (150 words)

(12) What do you see yourself doing after ? (100 words) 5 years:

10 Years:

15 Years:

(13) If you could, what is the ONE thing in the world you would want to change, why and how? (100 words)

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(14) What factors make it difficult for you to contribute to social change? (100 words)

(15) Why do you want to be a Gandhi Fellow? How will becoming a Gandhi Fellow help achieve your personal goals? (150 words)

(16) Where you would like to be placed as a Fellow. (a) (b) Are you willing to be placed anywhere in India? Yes No

Indicate your preference by ranking the options (1, 2, 3, 4) Rajasthan ( ) Gujarat ( ) Maharashtra ( ) Anywhere in India (

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Application Form 2012