Gov21 | The 21st Century Government Innovation Program Application • Partnership for Public Service

For more information, contact Diana Starkes at
DStarkes@ourpublicservice.org or call (202) 292‑1014.

*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 Diana Starkes at
DStarkes@ourpublicservice.org
or (202) 292‑1014 for alternative application options.

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Application Type

Before submitting your application, please attest that you have permission from your agency to participate in this program and that you will attend all six program dates.

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Personal Information

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First Full Name

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Professional Experience and Objectives

GS Level or Equivalent

Why have you chosen to apply for this program? Describe one thing you hope to take away from it. Limit 150 words.

Describe your current job responsibilities – what takes up most of your time each day? Limit 150 words.

Describe the work of your office and/or program. Limit 150 words.

Identify one to three work issues that you would like to address using innovation tools, such as design thinking or Human Centered Design. People learn better when they are working on a problem they care about. Your issues can be known government-wide issues or narrower problems particular to your office or agency. They can be topical and time-sensitive or underlying issues that may be important but not urgent. Your problems can be simple and to the point – perhaps your program just isn't working as well as it should, or maybe there’s something that’s been driving you crazy but you’re not exactly sure of the root problem. Limit 150 words.

Indicate your familiarity with innovation tools and methodologies, such as Human Centered Design, behavioral science or prizes and challenges. (Limit 150 words.)
Note: Varying levels of familiarity are encouraged as peer learning will be a component of this program.

Which of the following areas would you like to focus on improving in the near term? (Select up to three.)

Meetings: Running effective meetings and ensuring fruitful, inclusive conversations.Strategy: Prioritizing and not saying yes to everything.Design: Exploring, testing and implementing new ways of doing things.Agility: Getting you and your team to be nimbler and more flexible.Influence: Using those around, below and above you to get things done.Collaboration: Fostering more team-based approaches to work.Facilitation: Convening stakeholders and partners. Elephants: Having the difficult, necessary conversations.Other

Other:

Please include any additional information that you think would be useful.

Supplemental Information

How did you learn about this training program?

Name and agency of Gov21 alumni who referred you:

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

Gender

AgenderGenderqueerNonbinaryWomanManPrefer to self-describePrefer not to say

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I understand that there will be around one hour of homework after each program day. This may consist of readings, videos, activities and/or discussion questions assigned to deepen and contextualize content outside class hours.

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By completing this application, I am applying to participate in the 21st Century Government Innovation Program (Gov21). I will pay the $3,500 tuition fee upon acceptance to the program.

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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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