City Scholars® Fellowship for Education NOMINATION Form - 2024

IMPORTANT: Please review the Fellowship for Education Nomination + Selection FAQs (which includes a sample nomination form), posted on our website, before completing your nomination. Because you must complete your nomination in one sitting, we strongly suggest that you refer to the sample nomination form included in the FAQs to prepare your answers before you begin your nomination. Once submitted, you may not edit your nomination.

To all Nominators:

At City Scholars^® Foundation, we help education nonprofits thrive to give thousands of low-income youth a better chance to learn and achieve against the odds. To fulfill our mission, we sponsor our City Scholars^® Fellowship for Education.

As a collaborative, high-impact leadership and capacity building institute, our City Scholars^® Fellowship for Education is more than a one-time training experience. Rather, through continuing education and ongoing engagement, it fosters a vibrant and diverse leadership learning community focused on action and accountability.

Partnering with executive volunteers, our Fellowship for Education helps smart, passionate and extraordinarily collaborative nonprofit CEOs, who as established executives and emerging leaders, are distinguished as City Scholars^® Foundation Fellows. Together, Foundation Fellows learn, grow and collaborate building essential business and leadership skills, confidence and connections to grow education nonprofits (whether after-school or school-based) from survival to success to significance. Youth served by our Foundation Fellows and the education nonprofits they lead are primarily Pre-K to college.

Thank you for helping us make our mission possible by nominating an exceptional nonprofit CEO as a prospective Foundation Fellow. Nominations are not a guarantee of admission, but rather an opportunity for us to get to know passionate leaders throughout the greater Southern California region.

If you wish to nominate multiple leaders, please submit a separate nomination for each leader. If you have any questions, please contact us at 213-627-1792 or at fellowship@cityscholars.org.

NOMINATOR INFORMATION (Tell us about yourself.)

Question Title

* 1. Nominator Contact Information:

Nominator First Name

Nominator Last Name

Nominator Title

Nominator Company/Organization

Organization Address

Organization City

Organization State

Organization Zip

Nominator Company/Organization Website

Nominator Email

Nominator Linked-in Profile (if none, please respond "N/A")

Nominator Office Phone Number

Nominator Mobile Phone Number (if none, please respond "N/A")

Question Title

* 2. Do you have any association with City Scholars^® Foundation?

Yes

If you answered yes, please specify:

NOMINEE Information (Tell us about your nominee.)

Question Title

* 3. Nominee Contact Information:

Nominee First Name

Nominee Last Name

Nominee Title

Nominee Nonprofit Organization

Organization Address

Organization City

Organization State

Organization Zip Code

Nominee Nonprofit Organization Website

Nominee Email

Nominee Linked-in Profile (if none, please respond "N/A")

Nominee Office Phone Number

Nominee Mobile Phone Number (if none, please respond "N/A")

Question Title

* 4. Nominee Age Group

20-29

30-39

40-49

50-59

60-69

70+

Question Title

* 5. Nominee Gender

Question Title

* 6. Nominee Ethnicity

American Indian or Alaska Native

Asian

Black or African American

Hispanic or Latino

Native Hawaiian or Pacific Islander

White or Caucasian

Multiracial

Question Title

* 7. What is your relationship to your Nominee?

Question Title

* 8. How long have you known your Nominee?

< less than one year

1 - 3 years

3 - 5 years

5 - 7 years

7 years+

Question Title

* 9. Can you affirm that your nominee has reviewed the First-Year Foundation Fellow Leadership Pledge?

Yes

Comment(s)

Question Title

* 10. How confident are you that, if selected, your nominee is ready, willing and able to fulfill the First-Year Foundation Fellow Leadership Pledge?

Very Confident

Confident

Somewhat Confident

Not Confident

Comment:

Question Title

* 11. Based upon your review of our Fellowship selection criteria, why do you believe your nominee would make an excellent City Scholars^®Foundation Fellow, if selected?

Question Title

* 1. Nominator Contact Information:

Question Title

* 2. Do you have any association with City Scholars® Foundation?

Question Title

* 3. Nominee Contact Information:

Question Title

* 4. Nominee Age Group

Question Title

* 5. Nominee Gender

Question Title

* 6. Nominee Ethnicity

Question Title

* 7. What is your relationship to your Nominee?

Question Title

* 8. How long have you known your Nominee?

Question Title

* 9. Can you affirm that your nominee has reviewed the First-Year Foundation Fellow Leadership Pledge?

Question Title

* 10. How confident are you that, if selected, your nominee is ready, willing and able to fulfill the First-Year Foundation Fellow Leadership Pledge?

Question Title

* 11. Based upon your review of our Fellowship selection criteria, why do you believe your nominee would make an excellent City Scholars® Foundation Fellow, if selected?

* 2. Do you have any association with City Scholars^® Foundation?

* 11. Based upon your review of our Fellowship selection criteria, why do you believe your nominee would make an excellent City Scholars^®Foundation Fellow, if selected?