Inviting...

all young social change visionaries of Udaipur

to apply for

UDAIPUR LOCALIZATION FELLOWSHIP


Do you have a dream project to improve the culture, environment or health of Udaipur city? We would like to support you in making your dream come into reality.


Our past fellows have been working on urban farming, upcycling waste, bicycling, healthy cooking, Mewari language and storytelling, mural art, gift culture, etc. in Udaipur.


The Fellowship will offer you with 1 year support in the following:

- Mentorship in personal leadership and social entrepreneurship development

- Networking and Contacts throughout the world

- Dynamic Peer Support Group to collaborate with

- Access to Seed Funding

- Basic Financial Scholarship


Apply now if you:

* Are interested in bringing positive change in Udaipur and have an creative idea to do so.

* Are interested in both talking and doing.

* Are between 15 - 40 years and are a local resident of Udaipur.

* Basic working knowledge of Mewari and Hindi.

* Can dedicate at least 30 hours per week to your project.


Contact us for more information: Manish and Rohit @

Udaipur as a Learning City, Shikshantar.

Email: manish@swaraj.org ; Tel. 09829724189.


Application Deadline is June 15, 2014



UDAIPUR LOCALIZATION FELLOWS APPLICATION FORM


The Udaipur Localization Fellowship is for one year. During this period, you will design and implement a project in Udaipur which will support the culture, environment and health of the city. You will also be expected to give some time each week to help other Fellows with their projects. The minimum time commitment will be 30 hours per week. Fellows will also be supported in developing a project proposal/business plan to take their project forward after the fellowship period. Fellows will receive a basic stipend to support their work.


We hope that this application will help you think and become better prepared for taking off on this new journey…Please feel free to ask questions…


*Required


Name *


Cell number *




Date of Birth *






Gender *
 Male/Female/Other


Father's name and occupation *







Mother's name and occupation *








Full residential address (present) with city and PIN code *






In case of emergency, what number should we call? *







How did you find about this programme? *






List any societies, clubs, groups that you have been a part of and your role in those.*

What are your hobbies/ interests/ skills? *



Please share something about yourself – your journey so far and what have been the major influences and experiences that have shaped and inspired you? (250-500 words) *







Your strengths and areas of improvement: As a person what are some of your strengths and what are some of the areas that you wish to improve on? *


One thing that bothers you? *



In your response, mention one thing that bothers you about yourself and one in society.
 *


Description of your Social Change Experiment *

As part of this program, you will get to design and lead a social change experiment to promote localization. Give us, some idea of what kind of experiment/s would you like to take up. Also include why you chose the particular experiment, what are the social, cultural, environmental or health concerns that you would like to address and how?







Any other significant information that you would want to share? *


REFERENCE *


Please give two referees with full names, addresses. telephone numbers, emails, occupations and your relationship with them. The referees should be people you have worked/working with or studied/studying under (No family members or close friends please)

1.

2.



DECLARATION

I hereby declare that all the above entries made are true to the best of our knowledge and we understand that any false information can lead to discontinuation from the fellowship.


I understand that merely submitting this form does not entitle us to be part of this programme. If selected we commit to participate in all the processes of the programme.



PLEASE FILL AND SEND TO MANISH JAIN, SHIKSHANTAR, 21 OLD FATEHPURA, UDAIPUR. EMAIL: manish@swaraj.org; TEL. 0294-245-1303