Health Leadership Fellows Application

*Please note: in recognition of the exceptional circumstances our community is facing in response to COVID-19, we have EXTENDED the application deadline for Fellows Cohort 10 to May 15.* The goal of the Health Leadership Fellows Program is to develop and strengthen a network of collaborative leaders with organizations and systems that serve young children impacted by poverty and older adults. The program is designed for current executives of health-related nonprofit organizations, safety-net organizations and public agencies that address the needs of older adults or young children impacted by poverty. Applicants must be in leadership roles, with tenure of at least five years in a management role, and have a strong commitment to and involvement with their local community. Please note that independent consultants do not meet eligibility criteria for this program.

Selection Criteria
Successful applicants are vital leaders of organizations and their communities. They must be in executive/senior leadership positions of influence in the organizations they represent. Other factors including commitment to course requirements; experience and career aspirations; adaptability to change; receptivity to learning; ability and willingness to apply lessons learned and demonstrated ability to work collaboratively. The commitment by the organization’s leadership to the participant’s engagement with the Health Leadership Fellows program is essential throughout the fellowship.

This is a competitive application process. All applicants will receive a personal interview. We will select up to 40 participants in the Health Foundation for Western and Central New York’s funding areas in western and central New York. Applications and essay responses must be submitted electronically via this form by May 15, 2020. You will receive a confirmation email from

If you have any questions, please email Nancy Blaschak, Health Leadership Fellows Program Director, at
  • Health Leadership Fellows Application

  • Personal and Professional Information
  • Personal and Professional Information
  • I certify that the answers supplied in this application are true and complete to the best of my knowledge. I authorize verification of all statements in this application, as it relates to the selection process. If I am selected as a fellow, I agree to fully participate in the 18-month fellowship program including:

    • Active participation in all program activities, including all residential sessions;
    • Developing and implementing a leadership development plan;
    • Participating in the development and implementation of a collaborative team project;
    • Participating actively in team meetings and with team workload;
    • Permitting the program to include my name, organizational information, biographical sketch and photo in informational and promotional materials pertaining to the program.
    • Attendance at three of six one-day workshops conducted by members of the Fellows Action Network during the course of the fellowship.

    Do you understand and agree with the above statement? Please indicate your agreement by checking ‘yes’ below.