Excellence in Government Fellows Program Application • Partnership for Public Service

If you have any questions, please contact Jennifer Benbow jbenbow@ourpublicservice.org or (202) 495-3339

*Please note, many agencies have specific application guidelines for their employees. Before submitting your application, please make sure that you are following your agency’s internal guidelines and that you have permission from your agency’s leadership to participate in this program.

Notice for Department of Homeland Security Employees

Other DHS applicants have recently notified us of a DHS firewall-related issue that may prevent form submission. We are currently trying to work with your department to resolve the issue. If you are unable to submit an online application, please contact Jennifer Benbow at jbenbow@ourpublicservice.org or (202) 495-3339 for alternative application options.

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Application Type

Personal Information

Salutation

First Name

Middle Name or Initial(s)

Last Name

Nickname

Pronouns

Job Title

Occupation

Department or Agency

Other Department or Agency

Subcomponent

Office or Work Unit

Work Phone

Mobile Phone

Home Phone

Preferred Phone Number

Work Email

Personal Email

Preferred Email Address

Work Address

Address Type

Street

City

State

Zip Code

Country

Home Address

Address Type

Street

City

State

Zip Code

Country

Emergency Contact Name

Emergency Contact Phone

Supervisor Information

Salutation

Supervisor First Name

Supervisor Last Name

Supervisor Job Title

Supervisor Phone Number

Supervisor Email

Street

City

State

Zip Code

Country

Professional Experience and Objectives

Total years with current agency

Total years of government service

GS Level or Equivalent

Do You Supervise...

PeopleProjectsNone of the Above

Number of employees you supervise

Numerals only

Please describe the projects you supervise:

Describe your current job responsibilities. Limit 300 words

Describe your short- and long-term career objective(s). Why is leadership development important at this point of your career? Limit 300 words.

List name, date attended and provider of any other leadership, management or other programs you have participated in over the last five years. Limit 300 words.

Why have you chosen to apply for this program? Describe one thing you hope to take away from it. Limit 300 words.

Are you interested in applying to the Senior Executive Service?

Total Years of Federal Contracting Experience

Current Certification Level

Please indicate below if you would like to attend the EIG program in person or if you would prefer to join virtually. Your selection will be used to assign you to a cohort accordingly and we will not be able to accommodate any changes to cohort assignments once the program begins. If you have not already done so, please review additional details on our approach and in-person safety guidelines here.

VirtualIn-person

Resume

Please attach your resume in .pdf, .doc, .docx or .txt format. Your file should be no larger than 1MB and no longer than three pages.

Letter of Reference

A letter of reference from your immediate supervisor will be required to complete the application. He/she should indicate your suitability for this program, state why they think that you are an ideal candidate and comment on your potential to contribute to both the program and your agency. You may upload the file here (preferred) or email it directly to jbenbow@ourpublicservice.org. The file should be no larger than 1MB and no longer than two pages.

Supplemental Information

How did you learn about this training program?

Did you go through an internal agency process?

YesNo

Gender

AgenderGenderqueerNonbinaryWomanManPrefer to self-describePrefer not to answer

Gender self-describe

Race

American Indian or Alaska NativeAsianBlack or African AmericanNative Hawaiian or Other Pacific IslanderWhiteTwo or more racesPrefer to self-describePrefer not to answer

Race self-describe

Ethnicity

Hispanic or LatinoNot Hispanic or LatinoPrefer not to answer

Once accepted into this program, your non-refundable tuition payment will be required before the program start date. If you can no longer attend, you may defer your program registration for up to one year. For any questions or concerns about making payment before the program start date, please contact our Accounts Manager, Thmina Khalid, at tkhalid@ourpublicservice.org.

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Contact Information

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