PAKISTAN FELLOWS PROGRAM

APPLICATION FORM
FOR THE ACUMEN PAKISTAN FELLOWS PROGRAM
CLASS OF 2015
INSTRUCTIONS:
All applications must be received by 7:00 PM GMT (Greenwich Mean Time) on 28 Sept / 12:00
AM PST (Pakistan Standard Time) on 29 September 2014. Late or incomplete submissions will
not be considered.
Before beginning the applications, please review the Application Instructions section of our
website for eligibility criteria and tips for filling out the form. If you have questions or if you are
having technical difficulties, please read the Frequently Asked Questions. If you still have
questions after reading the FAQ, you may email pakistanfellows@acumen.org.
Application Instructions: http://acumen.org/wp-content/uploads/2014/07/Regional-Fellows-Instructions.pdf
FAQ: http://acumen.org/wp-content/uploads/2014/07/RFP-2015-FAQ-10-July-2014_ri.pdf

The application for the Pakistan Fellows Program consists of:

Background information on both you and your work in social change
Your responses to the application questions
Please submit your resume/CV along with this application form
Please complete this application in English. Fields marked with an * are required. You will not
be able to exceed the character limits. It is strongly recommended that you compose your
essays in a word processor with a character count feature.
Next steps after submission of application:
Update to all applicants Late Oct 2014
Phone Interviews End Oct & Early November 2014
Selection Conference (in-person) interviews 29th November 2014
Final Selection of 20 Fellows December 2014
If you would like submit a paper application, please print out this form and mail it to us by
Monday, September 29, 2014. Please send it to the following address:

Acumen
Plot No 11 C, 4th Floor,
1st Commercial Lane,
Shahbaz Commercial Phase 6,
D.H.A., Karachi,
Pakistan
Phone: + 92-21-3584-6430-31-32

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Background Information
Contact Information
First Name*

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Last Name*

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Email Address*

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Primary Phone*

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Secondary Phone ___________________________________________________________

Personal Information
Fellows must demonstrate a long-term commitment and concrete connection to
India.
What is your nationality?* ____________________________________________________
How long have you lived in Pakistan? * _______________________________________
What is your gender?*
(Circle one)

Male /

Female

Other

Do you hold any of the following?

(Circle one)

CNIC Card (National Identity Card) / NICOP (National Identity Card for

Overseas Pakistanis) / Pakistan Work Permit

Not Applicable

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Social Change Work
We are looking for individuals who are not just dreamers, but do-ers. Each selected
Fellow must demonstrate commitment to social change through long-term
experience contributing to poverty alleviation in their region. Fellows come from
across sectors (i.e. for-profit, social enterprise, NGO, government sectors, etc) and
work on a variety of issues (i.e. education, renewable energy, activism, etc) but all
are currently engaged in a project or organization that seeks to create positive
social impact. We will consider a handful of exceptional individuals who are not
currently engaged in a project, but have significant experience or show strong
leadership potential.
(Note: If you are involved in multiple projects that create social impact, describe the project that
takes most of your time. If you are not currently engaged in a project, describe the project that you
were most recently working on.)

What is the name of your social change organization/project?*

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In one paragraph (100 words max), describe your organization/project?*
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In one or two words, what is your organizations/projects main area of focus?
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What is your title at this organization/project?
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What are your specific roles/responsibilities at this organization/project?
(Note: If we asked your CEO or Board of Directors what your role is, how would they describe your
main responsibilities on a day-to-day basis?)

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What goals do you hope to accomplish this year?
(Note: Tell us about the goals that you personally are responsible for achieving. Dont describe
organizational goals, but rather your own specific objectives.)

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For how long have you been working at this organization/project?
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What is your time commitment at this organization/project?
(Note: Full-time is 40 hours/week or more, Part-time is less than 40 hours/week)

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What is the social impact you are making through this organization/project?
(Note: Quantify your impact with a number and provide a brief description. Include at least one,
and up to three impact numbers/descriptions.)
(For example: Impact Number: 1000. Impact Description: Number of youth who have completed our
12-month entrepreneurship program.)

Impact Number:

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Impact Description:

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Impact Description:

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Impact Number:

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Impact Description:

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Work Experience
Total number years of work experience*
What is your main area of expertise?*

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Education
Secondary or High School
Name of school/institution

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Graduation year

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Location (City, Country)

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Highest Academic Qualification

What is your highest academic qualification?
Circle one:

Primary School (O Levels)

Secondary School (A Levels)
Vocational/Technical School (Associates Degree)
Undergraduate (Bachelors Degree)
Graduate (Masters Degree)
Doctorate (e.g., PhD, JD, MD)

Area(s) of Study

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Graduation year

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Location (City, Country)

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Work Experience
Please use this area to tell us about any significant awards or recognitions that you
have received in the last 5 years (e.g., prizes, honors, fellowships)
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Work Experience
How did you find out about this opportunity?
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What other opportunities have you applied for in the last 1 year?
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Address
Address

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City/Town

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State/Region

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Country

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Essay Questions
As you write your responses, be authentic. We do not want you to write what you
think we might want to hear! Use anecdotes and details to show us, not simply
tell us, about yourself. Do not just say you are a very curious person; illustrate that
with examples and concrete details. For additional help with the long & short
answer questions, please consult the Application Instructions.

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1. Why do you do what you do?* (200 words)
What were those pivotal moments in your life that have led you to dedicate yourself and
your work to social impact? We already have your resume, so focus more on the personal
and less on the professional. Where does your passion and motivation come from?

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2. Why are you applying?* (200 words)
What do you want to get out of this program? What are your personal/professional
development goals, and how will the Acumen Fellows Program help you achieve them?

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3. What is your vision for Pakistan? * (200 words)
How do you hope Pakistan will change in your lifetime? How is the work youre doing
contributing towards that vision?

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4. Read Acumens Manifesto (next page). Which line resonates with you the most? *
(300 words)
Tell us a story about how youve seen an aspect of the Manifesto play out in your own life.

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Acumens Manifesto
It starts by standing with the poor, listening to voices
unheard, and recognizing potential where others see
despair.
It demands investing as a means, not an end, daring to go
where markets have failed and aid has fallen short. It makes
capital work for us, not control us.
It thrives on moral imagination: the humility to see the world
as it is, and the audacity to imagine the world as it could be.
Its having the ambition to learn at the edge, the wisdom to
admit failure, and the courage to start again.
It requires patience and kindness, resilience and grit: a
hard-edged hope. Its leadership that rejects complacency,
breaks through bureaucracy, and challenges corruption.
Doing whats right, not whats easy.
Acumen: its the radical idea of creating hope in a cynical
world. Changing the way the world tackles poverty and
building a world based on dignity.
[Click here to listen to Acumens Founder & CEO Jacqueline Novogratz recite the Manifesto,
or click here to listen to her talk about what the Manifesto means to her.]

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Terms & Conditions
Participants are expected to attend ALL program meetings (i.e., 4 Seminars and 1 Learning
Trip), which could include travel to different locations in Pakistan. All program-related
expenses are provided by Acumen. Acumen and its partners are investing a significant
amount of resources, effort, and time into this program, and we must ensure that all
participants are committed to the program. Missing even one meeting merits expulsion
from the program. If admitted, you must commit to attending ALL program meetings.
Participants are expected to complete ALL program assignments, participate in program
activities and stay in communication with other Fellows in between seminars. Failure to
complete assignments and lack of engagement/participation merits expulsion from the
program. If admitted, you must commit to completing ALL program assignments/activities
and staying in communication with other Fellows.
Your dedication to poverty alleviation is an instrumental criterion determining your selection
in the Fellows Program. If selected, you must commit to continue working in a leadership
capacity in poverty alleviation for the duration of the one-year program.
All finalists are expected to attend a Selection Conference in Karachi on 29 November
2014, which is a one-day final selection event. Participants are expected to cover their own
expenses for travel to/from Karachi, and accommodation in Karachi. If selected, you must
commit to attending the Selection Conference.
Note: Acumen wants to ensure that all shortlisted candidates are able to attend, regardless
of their financial situation. As a result, in some special situations and upon request, Acumen
will consider providing financial assistance to finalists who cannot cover these costs.
I hereby verify that the above information is true and correct to the best of my knowledge
and belief. I affirm that the above responses and essays are original and not plagiarized. I
understand that misrepresentation or plagiarism of any kind is grounds for immediate
disqualification from the selection process.

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Signature

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Date

Reference 1
Please remember to submit your resume/curriculum
vitae along with your application form