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LGBTQ+ Victory InstituteProgramsDavid Bohnett Leaders Fellowship2024 David Bohnett LGBTQ Leaders Application

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2024 David Bohnett LGBTQ Leaders Application

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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 bohnett@victoryinstitute.org to confirm when I have submitted it.
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Demographic Information
Pronouns*
Race/Ethnicity*
Sexual Orientation*
Gender/Gender Identity*
Political Affiliation*
Date of Birth*

MM/DD/YEAR

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Credentials
If you are unable to attach your letters, headshot or resume below, please complete the application form without attaching them and email the materials to bohnett@victoryinstitute.org. Adobe Acrobat (PDF) format is preferred.
Letter of Reference from an alumnus of the Senior Executives in State and Local Governments Program
Max. file size: 49 MB.
Letter of Reference from an individual who can speak to your leadership/participation within the LGBTQ community
Max. file size: 49 MB.
Professional Headshot
Accepted file types: jpg, png, Max. file size: 49 MB.
Resume
Accepted file types: pdf, docx, jpg, Max. file size: 49 MB.
Professional Biography*
Please provide your professional biography (3rd person) in no more than 200 words.
Official Job Title*
Type of office*
- Elected
- Appointed
Total Years of Full-Time Work Experience*
- 1-5
- 6-10
- 11-15
- 16-20
- 20+
How have you demonstrated leadership as an openly LGBTQ executive/public official or within the LGBTQ community? Please answer in 500 words or less.*
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.
Session Preference*
- June 3 - June 21, 2024
- July 8 - July 26, 2024
- No Preference, But I Applied/Will Apply for Harvard's June Program
- No Preference, But I Applied/Will Apply for Harvard's July Program
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 8, 2024.

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Funding
The Harvard Kennedy School Program fee for 2024 is approximately $17,400. For accepted fellows, the David Bohnett Foundation and LGBTQ Victory Institute typically cover more than 50 percent of the fee, and up to the entire fee, depending on financial need. The organizations do encourage fellows to invest some level of funding toward the fee, when possible. Examples of funding include (a) budgeted professional development funds, (b) grants from nonprofit foundations in a city/state, (c) fundraising from individual donors, (d) other fellowship opportunities listed on the HKS website, and/or (e) self-funding. Fellows are also required to attend the International LGBTQ Leaders Conference from December 5 - 7, 2024, and to pay for their own travel, hotel and registration.
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.*
Please explain the estimated level of funding needed from the David Bohnett Foundation and Victory Institute in order to attend the program.*

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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 Institute 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 from December 5 - 7, 2024, and will need 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*
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.*

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