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About
Our Mission
Our History
Board of Directors
Our Team
Career Opportunities
Internships
Annual Reporting
Ways To Give
Trainings
Candidate & Campaign Trainings
Leadership Summits
Programs
Victory Congressional Internship
OUT on the Hill 2019
OUT on the Hill 2018
David Bohnett Victory Congressional Fellowship
Victory Empowerment Fellowship
David Bohnett Leaders Fellowship
Presidential Appointments Initiative
Coming Out Project
Elected Officials
International
International Census
The Balkans
Colombia
Dominican Republic
Honduras
India
Peru
South Africa
Conference
2019 Conference
2018 Conference
Conference History
Become a Sponsor
Donate
Donate
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About
Our Mission
Our History
Board of Directors
Our Team
Career Opportunities
Internships
Annual Reporting
Ways To Give
Trainings
Candidate & Campaign Trainings
Leadership Summits
Programs
Victory Congressional Internship
OUT on the Hill 2019
OUT on the Hill 2018
David Bohnett Victory Congressional Fellowship
Victory Empowerment Fellowship
David Bohnett Leaders Fellowship
Presidential Appointments Initiative
Coming Out Project
Elected Officials
International
International Census
The Balkans
Colombia
Dominican Republic
Honduras
India
Peru
South Africa
Conference
2019 Conference
2018 Conference
Conference History
Become a Sponsor
Donate
LGBTQ Victory Institute
2020 David Bohnett LGBTQ Leaders Application
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2020 David Bohnett LGBTQ Leaders Application
2020 David Bohnett LGBTQ Leaders Application
Designed for all senior-level executives working with state and local governments - including government officials and elected office holders - this intensive, three-week Executive Education program at the Harvard Kennedy School in Cambridge, Massachusetts, hones skills and furthers the leadership potential of accomplished individuals from across the United States.
Step 1 of 5
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Contact Information
Name
*
First
Last
Email
*
Please confirm
*
YES, I have submitted my application to the Harvard Kennedy School and indicated "Bohnett" as my financial sponsor.
NO, I have not yet submitted my application but will email
[email protected]
to confirm when I have submitted it.
Home Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darrussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
US Minor Outlying Islands
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Demographic Information
Date of Birth
*
MM/DD/YEAR
Race/Ethnicity
*
Sexual Orientation
*
Gender/Gender Identity
*
Pronouns
*
Political Affiliation
*
Credentials
If you are unable to attach your letters below, please email
[email protected]
Adobe Acrobat (PDF) format is preferred.
Total Years of Full-Time Work Experience
*
1-5
6-10
11-15
16-20
20+
Official Job Title
*
Type of office
*
Elected
Appointed
Professional Headshot
*
Accepted file types: jpg, png.
Professional Biography
*
How have you demonstrated leadership as an openly LGBTQ executive/public official or within the LGBTQ community?
*
Is there an article, blog post or other acknowledgement on the web of your leadership as an openly LGBTQ executive or public official or within the LGBTQ community? If so, please provide the link.
Letter of Reference from an alumnus of the Senior Executives in State and Local Governments Program
Letter of Reference from someone who knows and can speak to your leadership/participation within the LGBTQ community
Session Preference
*
June 1 - June 19
July 6 - July 24
The three-week Senior Executives in State and Local Government program at Harvard Kennedy School is offered twice each year - once in June, and once in July. Each program is equivalent in content, but we aim to have diverse representation in each of the sessions. The Harvard Kennedy School application deadline is April 1, 2020.
Funding
The Victory Institute generally attempts to cover more than one-half of the approximately $12,400 Harvard Kennedy School Program fee which covers tuition, housing, curricular materials, and most meals. Successful applicants typically demonstrate a plan to cover at least $5,000 of expenses, although exceptions are made occasionally for those who demonstrate financial need. Fellows are required to attend the International LGBTQ Leaders Conference and to pay for their own travel, hotel and registration happening in December 2020.Examples of funding include (a) professional development funds from your budget, (b) grants from nonprofit foundations in your city/state, (c) fundraising from individual donors, (d) other fellowship opportunities listed on the HKS website, and (e) self-funding.
Please list your potential or secured sources of funding in separate lines, including the amount with each source. Include any self-funding on a separate line.
*
If needed, please explain your financial need.
Confirmation
Please initial to indicate your agreement with the following statements:
I understand that if I am selected as a David Bohnett LGBTQ Leadership Fellow, personally identifiable information including my name and title will be released to the public, such as through blog posts on the web and newsletter announcements.
*
I understand that this is a full-time executive education program running for three weeks in June or July. I will fully participate in the program, including any Victory sponsored activities, immediately before, during, and immediately after the Harvard Kennedy School program.
*
I understand that I am required to attend the International LGBTQ Leaders Conference December 2-5, 2020 and to pay for my travel, hotel and registration. I will be eligible for a discounted registration fee as an alum of the program.
*
I understand that I will receive email communications from the Victory Fund and Institute and that I may unsubscribe from these emails at any time.
*
Date
*
Date Format: MM slash DD slash YYYY
I acknowledge that I have read and understand all of the eligibility and application requirements, have completed the application truthfully, and consent to submitting this application electronically.
*