Name: *
Pronoun: * He/Him/His She/Her/Hers They/Their/Theirs Ze/Zir/Zirs
Date of birth: * January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921
Domestic Status: * Married Single Seperated Divorced Committed Partnership Widow/Widower
Name of Spouse/Partner:
Are you a member of Forma?: * No Yes
Are you a member of Gathering of Leaders?: * No Yes
Country: * Afghanistan 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 Bosnia And Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Columbia Comoros Congo Cook Islands Costa Rica Cote D'Ivorie (Ivory Coast) Croatia (Hrvatska) Cuba Cyprus Czech Republic Democratic Republic Of Congo (Zaire) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guinea French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard And McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos 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 Montserrat Morocco Mozambique Myanmar (Burma) Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts And Nevis Saint Lucia Saint Pierre And Miquelon Saint Vincent And The Grenadines San Marino Sao Tome And Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa South Georgia And South Sandwich Islands South Korea Spain Sri Lanka Sudan Suriname Svalbard And Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City (Holy See) Venezuela Vietnam Virgin Islands (British) Virgin Islands (US) Wallis And Futuna Islands Western Sahara Western Samoa Yemen Yugoslavia Zambia Zimbabwe
Home Address: *
City: *
Province:
State: * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Prince Edward Island Saskatchewan Ontario Quebec Yukon
Zip Code: *Postal Code: *
Mobile Phone: *
Work Phone: *
Email: *
Diocese: *
Diocesan Bishop: *
Canonical Status: * Lay Nominee(Aspirant) Postulant Candidate Deacon Priest Religious Bishop
List the academic institution and degree program where you will be enrolled during the 2021-2022 academic year. If you have not yet been accepted into a degree program, please list up to three academic institutions to which you have applied.
Degree: Year Started / Anticipated Enrolment: Expected Completion: School:
Degree: Year: School:
Below please write the names of the people who will provide letters in support of your application. Two letters of reference are required; you may submit up to three letters of recommendation of your choosing. You have the option to attach the letters in the online application, mail all your letters together in one packet, or have your letters mailed by those who are writing them. Do not submit letters by email. All letters must be received or postmarked by March 1st, 2021.
A letter of reference from your academic advisor or equivalent and diocesan bishop in the diocese where you are canonically resident are required. Please contact us if you have any questions about these letters.
Diocesan Bishop's Name: Upload: Applicant will mail Will be mailed directly
Academic Advisor's Name: Upload: Applicant will mail Will be mailed directly
Recommender's Name: Upload: Applicant will mail Will be mailed directly
Please paginate and include your surname in the header of all essays and papers. This does not apply to published articles that are being used for submission.
Resume/CV Upload: Applicant will mail
Personal Statement Attach a personal statement of no more than 1,000 words. Include a brief history of how you have developed as faith leader, your ministry, when and where you joined the Episcopal Church (or an Anglican Communion Church), and how this journey has led you to develop your proposed course of study. Upload: Applicant will mail
Essay The essay for candidates applying for an academic track should explain the proposed course of study with a maximum length of 1,200 words. Points of discussion should include the following:
Academic Paper submitted for a class or publication Upload: Applicant will mail
Writing Sample Please submit a sermon or article (published or accepted for publication), or equivalent written material for a non-academic/general audience. Upload: Applicant will mail
Unofficial transcripts are acceptable for application review, but if the applicant is offered a Fellowship, the applicant will be required to submit official transcripts to verify the accuracy of the submitted transcripts.
You may attach up to three transcripts here in the online application, mail all your transcripts together in one packet, or have your transcripts mailed directly to ECF by your college/university. All transcripts must be received or postmarked by March 1st, 2021. Upload: Applicant will mail Upload: Applicant will mail Upload: Applicant will mail
Please provide the following financial information for the upcoming academic year (August 2021 through July 2022).
Salary (Individual):
Savings (if used as income):
Pension (if used as income):
Grants/Scholarships:
Family Income/Support:
Other Income:
Total Income:
Tuition:
Housing and Food (room & board):
Medical Insurance:
Loans:
Books and Educational Necessities:
Childcare:
Local Transportation:
Family/Other Expenses:
Total Expenses:
In the space below, please provide any additional information relevant to your financial situation not accounted for in the above.
ECF Fellowship Amount Requested (up to $15,000 max):
How do you anticipate using the Fellowship funds: Tuition and academic expenses: Personal support during your studies (e.g. as salary, health insurance): Other:
Questions? Please visit the Frequently Asked Questions page. You can also contact Kjerstin Besser, Associate Program Director, at kbesser@episcopalfoundation.org or 800-697-2858.