Innovation -- Innovators in Residence

innovation@cfed

Innovators-in-Residence Online Application Form ( Show/hide introductory text )

Thank you for your interest in applying to become an Innovator-in-Residence. To do so, please completely fill out the following form. It may be helpful to prepare your answers to the narrative questions below in a separate document (for example, in MS Word) and then cut and paste the text into the online form below. Note the word number limits for each answer. Please do not format your text, as all formatting (such as bullets, tables, etc.) will be lost when text is pasted into the online form. Please review all of your information carefully before submitting your application. Once you hit submit, you can no longer make changes. Click here to download an easy reference guide that gives the questions and word limits to help you compose your application before submitting the form online.

In order to be considered, applications must be submitted through this website by 5 p.m. Pacific Time on Friday, April 3^rd, 2009.

Questions concerning this application should be sent via e-mail to innovation@cfed.org. Responses will be provided via e-mail. Questions and answers that may be applicable broadly will be shared (without attribution) via a list of Frequently Asked Questions posted on the innovation@cfed website.

If you need technical assistance filling out or submitting this form, please contact Aaron Watts.

Applicant Information
Focus of Work Plan
Questions to be Answered
Attachments and Final

Applicant name and contact information (Please complete all four tabs of the form. * denotes required field.)

First Name *	MI	Last Name *
Street Address *
Address Line 2
City *	State *
Zip Code *
Email *

Employer/affiliation current status *

full-time employee
part-time employee
entrepreneur/self-employed
on or planning sabbatical
other - explain in box below

Words left: 50

(Required if full-time employee, part-time employee OR entrepreneur/self-employed buttons were checked)

employer or affiliation (organization name) employer/affiliation address Your employer/affiliation title

Internet Explorer users: Cutting and pasting more than number of words alloted for each description will cause the text to lose spacing. Delete text and start over if this occurs.

Project Summary: Briefly (in 50-100 words) describe the project to be pursued during the residency. *

Words left: 110

Description of Innovation: *

How does your concept increase economic opportunities or promote financial security for low- and moderate-income individuals? What makes this concept innovative?

Words left: 200

What kind of outcomes and impact do you seek? What is the theory of change behind your innovation? In other words, how does this concept create the outcomes you desire?

Words left: 300

How many individuals could your innovation potentially reach? How?

Words left: 100

What is the current stage of development of your innovation? How has this concept been tested in the real world?

Words left: 200

Brief Overview of Proposed Work Plan: *

What are the primary activities you propose for the next one to two years to bring your innovation to a higher level of impact and/or scale? What are highlights of the timeline and key milestones?

Words left: 250

What is the benefit of "embedding" this innovation at CFED for one to two years, and how would you leverage CFED resources?

Words left: 250

What will the innovation "look like" at the end of the residency?

Words left: 250

Agree: I am applying to be an Innovator-in-Residence. If I am selected, I understand that CFED will be providing valuable support, both financial and in-kind, and that an intellectual property agreement will be a part of the Innovator-in-Residence agreement.

All applicants are required to submit a current resume, totaling no more than 1 MB in file size. In addition, applicants may submit up to two relevant attachments, each totaling no more than 1 MB, in support of their application. Each document MUST be under 1MB in file size or NO uploaded documents will be accepted. No more than two attachments (in addition to the resume) will be accepted at this time. Microsoft Word, Excel and Adobe Acrobat file formats will be accepted.*

On-line applications will be carefully reviewed and a limited number of applicants will be invited to submit additional information for further consideration. If you are not invited to submit additional information for consideration for the Innovators-in-Residence program, your concept will be considered for selection under our Innovative Ideas program. CHECK if you do not want your application to be considered as an Innovative Idea. *

Submit Application