Health Leadership Fellows Application

Applications for Cohort 11 of the Health Leadership Fellows program are now open. Applications are due on November 21, 2023. Interviews will begin late 2023 and continue into early 2024, and the program will begin in June 2024.

Please fill out the form in its entirety and click ‘submit’ when finished. For questions about the Fellows program, email hlfellows@blaschakconsulting.com. For technical questions about this application, please email scopps@hfwcny.org.

About the Fellows Program
The goal of the Health Leadership Fellows Program is to develop and strengthen a diverse network of collaborative leaders with organizations and systems that serve young children and older adults in western and central New York. 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, ideally including a commitment to racial and/or socioeconomic equity. 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. People who are BIPOC, LGBTQ+, or from other under-represented communities are strongly encouraged to apply. 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 and have decision-making responsibilities 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.

Please see the Fellows main landing page for information on the time commitment and program expectations of Fellows.

What to Expect When You Apply
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.

"*" indicates required fields

Personal and Professional Information

First Name*

Last Name*

Middle Initial*

Degree(s)*

Profession/License*

Organization and Position*

Office Address*

Street Address City State ZIP Code

Office Phone*

Office E-mail Address*

Cell Phone*

Personal and Professional Information

Home Address*

Street Address City State ZIP Code

Home Phone*

What race/ethnicity best describes you?

You may choose multiple options.

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic

White

Other (Use field below)

Other (Please describe below)

Please read the statement below:*

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;
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.

Yes

ESSAY QUESTIONS

Your current professional role (100 word maximum)*

What attracted you to this career? What are your aspirations? What is your interest in the Health Leadership Fellows Program? (350 word maximum)*

How does racial and/or socioeconomic equity factor into your work?

Provide examples that demonstrate significant leadership accomplishments and successes in both your professional and civic (or personal) life. (350 word maximum)*

Describe a difficult or challenging situation you have experienced and what you learned from it. What specific leadership competencies do you want to develop or improve, and why? (350 word maximum)*

Describe three lessons in leadership you have learned in your professional and civic life. (100 word maximum)*

How did you learn about the Health Foundation’s Health Leadership Fellows Program?*