2025 Innovation Fellowship Application

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Contact Info















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Referral Information




email, social media, phone/office number



Carefully review the responses to the questions below.
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Your responses to the following questions is used for data-tracking related to grant funding and does not impact your eligibility.
Education Info






Employment Info








Other Info


Minors, your answer should reflect service(s) your family receives.





Demographic Info

You must be at least 18 years of age for the Innovation Fellowship program.
Statement on Collecting Gender and Sexual Orientation Information

We value diversity and inclusion in our community. To better understand and support the needs of all individuals, we collect information about gender identity and sexual orientation. This information helps us create an environment that respects and reflects the diverse identities within our community.

Your participation in sharing this information is completely voluntary and will remain confidential. It will be used solely for the purpose of fostering inclusivity and enhancing our programs and services. We are committed to protecting your privacy; your responses will only be analyzed in aggregate and will not be linked to your personal information.

If you prefer not to answer, you may select 'Prefer not to say.' Thank you for helping us build a more inclusive space for everyone.













Please select "Not Applicable" if you don't have a spouse.




Attestation

I certify that the information submitted in this application is accurate, complete, and correct to the best of my knowledge. I further understand that any false statements may result in the denial of my application. I also agree to provide documentation to prove program eligibility upon request.

Thank you for your interest.

Based on your responses for the previous page, you do not meet one or all of the minimum eligibility requirements to enroll in a Knowledge House course.

If your situation changes, please resubmit a form. Best of luck with your future endeavors!

If you believe you've received this message in error, please review your responses on the previous page or contact the TKH Recruitment Team (recruitment@theknowledgehouse.org)
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