Severn Leadership Group - UPGRADED

Fellow Application

Basic Information

* First Name

* Last Name

Preferred Name

Gender

* Email

1D. LinkedIn Profile (if applicable)

* Phone

* Address

* City

* State

* Postal Code

Location(s) in which you would like to apply:

Annapolis

Groton

Virtual

* How did you hear about the Severn Leadership Group?

* What do you hope to receive from the Severn Leadership Group Fellowship Program?

Questions for Mentor Matching

* If you had an ideal mentor, what would they be like?

* Do you prefer someone to be direct and challenge you, or someone with a "softer touch" and encouraging?

* Do you have a preference on gender, faith background, sexual orientation, industry background, or race/ethnicity? If so, how strong is this preference?

Fee Information

The cost of a Fellowship for 2024 is $6000. If you are a leader in a non-profit, the cost is $4000. It is important to SLG that no one is turned away due to economic status. Generous donors have provided funds so we can offer full or partially paid Fellowships if needed. Please indicate whether you or your employer will be covering the cost of the Fellowship, or if you require assistance in way of a full or partially paid Fellowship. Thank you!

I or my employer will pay for the Fellowship

I would like to apply for a full or partial Fellowship

Degree Information

* List universities, degrees awarded and year(s)

Basic Enterprise Information

* Employer

* 1B. Primary Industry

* What leadership position do you hold in the enterprise?

Military Service Background (if applicable)

2B. Military Branch

2D. Military Years of Service

2C. Military Specialty

Upload a short biography here with photo or headshot (.pdf)

Document

Upload a separate headshot (out of uniform if applicable) (.jpg)

Photo

Do you have any questions we can answer when we follow up with you?

Severn Leadership Group

The Severn Leadership Group (SLG) seeks to develop and support an ever-increasing circle of leaders and followers who are committed to a life of selfless courage, boldness in service to others, and personal and professional standards of excellence.