Apply

Application Form
Thank you for your interest in the Blossom Hill Fellowship Program. Please read through every question and carefully complete this application. All attachments must be submitted as PDFs. Incomplete applications will not be considered. Thank you!
Candidate #1 Profile*
Full Name
First Last
Age*
as of 3/31/2025
Gender*
Country of Origin:*

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Legal Status in Program Country:*
(if different from country of origin and/or citizenship)
Current Citizenship:*
if different from Country of Origin.
Will a visa be required for your proposal?*
What time limitations are imposed on the visa?*
Highest formal education attained:*
(name of school/degree/discipline)

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Employer (if applicable):
Languages:
Primary
Proficiency in other(s) Language(s)
What language(s) will be required for your proposal?*

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Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*

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Candidate #2 Profile (If applying as a team, please complete this profile)
Full Name
First Last
Age
as of 3/31/2025
Gender
Country of Origin:

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Legal Status in Program Country:
(if different from country of origin and/or citizenship)
Current Citizenship:
if different from Country of Origin.
Will a visa be required for your proposal?
What time limitations are imposed on the visa?
Highest formal education attained:
(name of school/degree/discipline)
Employer (if applicable):
Languages:
Primary
Proficiency in other(s) Language(s)
What language(s) will be required for your proposal?

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Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email

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How did you learn about the Blossom Hill Fellowship?*
Please be specific and identify the organization, individual or social media outlet that alerted you to this opportunity.
Please provide two letters of reference per candidate.
Each letter should be one page maximum. References should speak to your personal character and leadership ability; they may be academic, extracurricular and/or work-related. Include name, title, organization, relationship to you, duration of relationship and email address for each reference.
Candidate 1 - Letter 1*
Max. file size: 50 MB.
Candidate 1 - Letter 2*
Max. file size: 50 MB.
Second candidate references:
(if applying as a team)
Candidate 2 - Letter 1
Max. file size: 50 MB.
Candidate 2 - Letter 2
Max. file size: 50 MB.

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Fiscal Sponsor Profile
All applicants will be required to have a fiscal sponsor, which must be a U.S. registered 501(c)(3) charitable organization. The role of the Fiscal Sponsor is to receive the grant from Blossom Hill and disburse to our Fellows for a small fee. Our recommended fee is 5 percent of the grant. Fiscal sponsors will be required to agree to manage and disburse funds to the fellow according to the terms of the project.
Name of Organization:
EIN:
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Primary Contact Name, Title:
Email
What percentage of the administrative fee will be assessed to the Blossom Hill Fellowship?

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Please submit a copy of the Fiscal Sponsor’s:
501(c)(3) determination letter
Max. file size: 50 MB.
Board of Directors
Max. file size: 50 MB.
Most recent financial audit
Max. file size: 50 MB.
List of major supporters
Max. file size: 50 MB.

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SECTION 2: Proposal
Project Summary*
Title of Project:
Is this a pilot idea, not previously implemented? If not, when did it begin?*
Location of project*
Duration of Project*
Number of direct beneficiaries (boys/girls/other)*
Number of indirect beneficiaries*

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Summary of Idea: Describe the goal of your project idea including brief problem statement and how you propose to solve it.*
Grant Sum Requested from Blossom Hill*
Total Project Budget for the year including grant sum requested from Blossom Hill*
Max. file size: 50 MB.
Other funding sources for project and amount*

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1) What is your project idea?
(500 words maximum)(for an approach, program or product) Please include the following information:
a) What problem do you seek to solve?*
Why is it urgent to solve this problem? What specific needs will it meet within the intended community? Where will your idea be implemented? Who will benefit from your idea (describe the population to be served including number of beneficiaries, age, gender, ethnicity, community)? How will it be implemented in Year1? What is the required/requested amount of funding?
b) What humanitarian sector does your innovation aim to serve?*
Please chose from the following: education (specify early childhood, primary, secondary or vocational), health, nutrition, child protection, food security, livelihoods, water, sanitation and hygiene (WASH) projects, emergency response (shelter, relief items) or other (please specify).
c) Why is your approach, program or product innovative and unique?*
Provide specific examples of innovative activities or strategies that will make your project more effective than that taken by others.

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2) How will you attract participants with this idea? (300 words maximun)*
Have you reached out to this constituency or community? If so, what was their reaction? How does your idea support their already identified needs?
3) Please list 3-5 central objectives and their anticipated outcomes.*
Example: a) This project will use a student-centered, participatory approach to teaching 50 mothers in an impoverished village about hygienic practices in order to reduce existing preventable diseases by 25% within one year. Example: b) This product will reuse locally sourced material and be developed by training 25 youth from a specific town to reduce litter by 50% and increase employment by 10% in this area within 6 months. (300 words maximum)
4) How will you measure your outcomes to demonstrate success?*
Please explain how you will assess progress using measurable indicators. Provide any specific details that may indicate how you may make a positive difference. (300 words maximum)

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5) Why are you the best person to lead this endeavor?*
a) Please explain why you want to address the problem and/or population you aim to serve and demonstrate any relevant experience that makes you capable/competent to address this issue and/or population.
b) What makes you a leader? Please cite examples that demonstrate your leadership potential and describe what inspires you. Provide an example of your leadership and how this motivation or these characteristics will inform how you manage your idea.*
b) What makes you a leader? Please cite examples that demonstrate your leadership potential and describe what inspires you. Provide an example of your leadership and how this motivation or these characteristics will inform how you manage your idea.
6) BUDGET
Please provide a table indicating full “organizational” budget (in U.S. dollars) for Year I and a general line-item breakdown of the budget. If your budget exceeds the grant amount requested from Blossom Hill, please make sure to indicate what portion of the budget is requested from this Fellowship. Itemize your budget with related costs and succinctly explain how funding will be used. Here is a sample budget you can use to customize to your own Fellowship.
File*
Max. file size: 50 MB.
7) Please list additional sources of income, if applicable.*

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8) Timeline*
Please provide a timeline for proposal development and implementation.
9) Please provide name, contact information and description of partner organization, if partnering with local NGO. (1-2 sentences/50 words maximum)
Headshot Candidate 1*
(photo in high resolution jpeg format with a minimum of 300 ppi)
Max. file size: 50 MB.
Headshot Candidate 2
(photo in high resolution jpeg format with a minimum of 300 ppi)
Max. file size: 50 MB.
Pitch Video (limited to two minutes):*
This is your “Shark Tank” moment - you are in front of four investors making your best pitch for why they should fund you
Max. file size: 50 MB.
Terms of Agreement*
If awarded by Blossom Hill, I agree to honor the following areas: Expend the grant funding in the manner indicated in this grant proposal. Honestly reflect on the effort and progress made by fulfilling reporting requirements and submitting them according to deadlines. And, Communicate with my thought partner (assigned by Blossom Hill) and/or Blossom Hill as required and to share both concerns and progress.
I agree to the terms.
Date*

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2025 BH Fellowship Application

Step 1 of 16

Application Form

Please provide two letters of reference per candidate.

Second candidate references:

Fiscal Sponsor Profile

Please submit a copy of the Fiscal Sponsor’s:

SECTION 2: Proposal

1) What is your project idea?

6) BUDGET