Quotation Mark

“Do something wonderful, people may imitate it.” —Albert Schweitzer

Application

  • Before completing this application form, please be sure to carefully read each of the sections on the Become a Fellow page, including the FAQs at the bottom of the page.
  • There are two versions of the application: one if you are applying alone for the Fellowship and one if you are applying with a partner. If you are applying with a partner, please pay special attention to the instructions listed under Prior to Applying.
  • Be sure to look over the application carefully and familiarize yourself with the information we are requesting. You may wish to draft your response using this downloadable template before submitting your application using the form below. 
  • If you have any questions about this application, please contact the Program Director.

Applicant Contact

Education

Will you be enrolled in a degree-granting program through April 2020?
What year in your degree program will you be during the 2019-2020 academic year?
Fellows are expected to participate in Fellowship activities throughout the year (April 2019-April 2020). Will you have significant academic/clinical responsibility during the Fellowship year that may interfere with your ability to participate in the Fellowship?
Please indicate any times you anticipate being out of the area and/or unable to participate in Fellowship activities for reasons other than those listed above.

Project Information

Please describe the target population you wish to impact with your proposed community service project, including demographic information and the community need(s) your project would address (suggested word count 150).
Please describe your proposed community service project, including the following: project goals, and possible activities to meet these goals; intended outcomes you hope to see for the participants; if you are proposing to continue an existing program, please briefly describe how you might expand or build upon it (suggested word count 400).
If you are accepted as a Fellow, once your project is formed, you will be asked to evaluate your project’s impact. Knowing that your evaluation strategies may change as the project is developed, please indicate what methods you have thought about using throughout the year to evaluate your project’s effectiveness and determine how well your goals were met (suggested word count 200).

For example, Fellows have often conducted baseline and follow-up validated surveys to track behavior change, provided journals to participants to record progress with individual goals, or identified other ways to gauge how well community members were able to make and sustain healthy changes as a result of the project. Clinically based projects track disease specific changes using biomedical data.
Bearing in mind that the majority of your service hours should be spent in direct, face-to-face community service, how would you apportion your time throughout the Fellowship year? Please include a proposed start and end date (suggested word count 150).

For example, if you plan to meet weekly with your target population throughout the year, how many sessions would be required to fulfill the direct service requirement? Be sure you have given some thought to the logistical aspects of this part of your project. Be specific regarding number of sessions in a workshop, length of each session, targeted participation per workshop, etc.
Describe the avenues you will explore to sustain the project beyond your time as a Fellow (suggested word count 200).

Personal and Professional Information as it Relates to the Fellowship Activities

Considering that there are many different types of community service projects a Fellow could design, what inspired you to develop your particular project idea (suggested word count: 200)?
Please include anything about your personal and professional background, as well as, motivation for applying to the Schweitzer Fellowship that you would like to share with the selection committee (suggested word count: 800).
Please list someone at your proposed site who could serve as a Site Mentor or who has been your site contact.
Please upload your resumes in PDF format.

Commitment to the Fellowship

  • 1. Perform at least 200 hours of service (100 hours for paired Fellows).
  • 2. Attend the Celebration of Service on April 6, 2019 in Raleigh and in March/April, 2020 (date to be determined).
  • 3. Attend an overnight orientation retreat April 13 – 14, 2019 in Davidson.
  • 4. Attend two half day retreats in the Triangle: late August and November, 2019.

Partner A Contact

Education

Will you be enrolled in a degree-granting program through April 2020?
What year in your degree program will you be during the 2019-2020 academic year?
Fellows are expected to participate in Fellowship activities throughout the year (April 2019-April 2020). Will you have significant academic/clinical responsibility during the Fellowship year that may interfere with your ability to participate in the Fellowship?
Please indicate any times you anticipate being out of the area and/or unable to participate in Fellowship activities for reasons other than those listed above.

Partner B Contact

Education

Will you be enrolled in a degree-granting program through April 2020?
What year in your degree program will you be during the 2019-2020 academic year?
Fellows are expected to participate in Fellowship activities throughout the year (April 2019-April 2020). Will you have significant academic/clinical responsibility during the Fellowship year that may interfere with your ability to participate in the Fellowship?
Please indicate any times you anticipate being out of the area and/or unable to participate in Fellowship activities for reasons other than those listed above.

Project Information

Please describe the target population you wish to impact with your proposed community service project, including demographic information and the community need(s) your project would address (suggested word count 150).
Please describe your proposed community service project, including the following: project goals, and possible activities to meet these goals; intended outcomes you hope to see for the participants; if you are proposing to continue an existing program, please briefly describe how you might expand or build upon it (suggested word count 400).
If you are accepted as a Fellow, once your project is formed, you will be asked to evaluate your project’s impact. Knowing that your evaluation strategies may change as the project is developed, please indicate what methods you have thought about using throughout the year to evaluate your project’s effectiveness and determine how well your goals were met (suggested word count 200).

For example, Fellows have often conducted baseline and follow-up validated surveys to track behavior change, provided journals to participants to record progress with individual goals, or identified other ways to gauge how well community members were able to make and sustain healthy changes as a result of the project. Clinically based projects track disease specific changes using biomedical data.
Bearing in mind that the majority of your service hours should be spent in direct, face-to-face community service, how would you apportion your time throughout the Fellowship year? Please include a proposed start and end date (suggested word count 150).

For example, if you plan to meet weekly with your target population throughout the year, how many sessions would be required to fulfill the direct service requirement? Be sure you have given some thought to the logistical aspects of this part of your project. Be specific regarding number of sessions in a workshop, length of each session, targeted participation per workshop, etc.
Describe the avenues you will explore to sustain the project beyond your time as a Fellow (suggested word count 200).

Partner A Personal & Professional Information as it Relates to Fellowship Activities

Considering that there are many different types of community service projects a Fellow could design, what inspired you to develop your particular project idea (suggested word count: 200)?
Please include anything about your personal and professional background, as well as, motivation for applying to the Schweitzer Fellowship that you would like to share with the selection committee (suggested word count: 800).
Please list someone at your proposed site who could serve as a Site Mentor or who has been your site contact.
Please upload your resumes in PDF format.
  • 1. Perform at least 200 hours of service (100 hours for paired Fellows).
  • 2. Attend the Celebration of Service on April 6, 2019 in Raleigh and in March/April, 2020 (date to be determined).
  • 3. Attend an overnight orientation retreat April 13 – 14, 2019 in Davidson.
  • 4. Attend two half day retreats in the Triangle: late August and November, 2019.

Partner B Personal & Professional Information as it Relates to Fellowship Activities

Considering that there are many different types of community service projects a Fellow could design, what inspired you to develop your particular project idea (suggested word count: 200)?
Please include anything about your personal and professional background, as well as, motivation for applying to the Schweitzer Fellowship that you would like to share with the selection committee (suggested word count: 800).
Please list someone at your proposed site who could serve as a Site Mentor or who has been your site contact.
Please upload your resumes in PDF format.
  • 1. Perform at least 200 hours of service (100 hours for paired Fellows).
  • 2. Attend the Celebration of Service on April 6, 2019 in Raleigh and in March/April, 2020 (date to be determined).
  • 3. Attend an overnight orientation retreat April 13 – 14, 2019 in Davidson.
  • 4. Attend two half day retreats in the Triangle: late August and November, 2019.