Stanford DCI Fellow Application

Please review and read the entire application before filling out the required fields. We recommend that before starting the application process, you save your essay questions, photo, and CV in a PDF format file to your computer desktop.

You cannot save your work and return to the application once you start entering information.

* Required

CHECK LIST
You will be required to upload and submit the following documents (PDF file format):
checklist
- Personal Essays (2)
- CV/Resume
- Photo (headshot)
GENERAL INFORMATION
Please provide your personal information below:
Legal First/Given Name*
Middle Name or Initial
Last/Family/Surname*
Email*
Hidden
Applying As:
- Fellow
- Partner
Date of Birth (mm/dd/yyyy)*
MM slash DD slash YYYY
Place of Birth (City, State, Country). If your birthplace does not have a state, please only list city and country.*
Are you a US Citizen or a Permanent Resident?*
Do you hold Dual Citizenship?*
List the countries for which you have dual citizenship.
Please indicate how you identify yourself (select all that apply):*
- American Indian or Alaska Native (including all Original Peoples of the Americas)
- Asian (including Indian Subcontinent and Philippines)
- Black or African American (including Africa and Caribbean)
- Hispanic or Latino (including Spain)
- Native Hawaiian or Other Pacific Islander (Original Peoples)
- White (a person having origins in any of the Original Peoples of Europe, the Middle East, or North Africa)
- Decline to state
Please indicate the gender you identify with (select all that apply):*
- Female/Woman
- Male/Man
- Nonbinary
- Trans/Transgender
- Other
- Decline to state
Do you identify yourself as a first generation college student? This means that neither of your parents completed a 4-year college or university degree.*
- Yes
- No
- Not sure
- Decline to state
Name of Spouse or Significant Other (First, Last)
PERMANENT ADDRESS
Street Address * Address Line 2 City * State / Province / Region * ZIP / Postal Code * Country *
Phone (e.g. 650-555-1212)*
International Phone Code (e.g. country code, area code, local number)
EDUCATIONAL HISTORY
Highest Education Received*
Undergraduate Institution
Undergraduate Degree
(e.g. Bachelor of Arts in Psychology, Bachelor of Science in Computer Science)
Graduate Institution
Graduate Degree
(e.g. Master of Business Administration, Doctor of Education in Educational Leadership)
Additional Graduate or Professional Institution
Additional Graduate or Professional Degree
Are you a Stanford Alum or have attended a Stanford professional program? Select all that apply.
- Stanford Undergraduate Degree
- Stanford Graduate Degree
- Graduate School of Business
- School of Earth, Energy & Environmental Sciences
- Graduate School of Education
- School of Engineering
- School of Humanities & Sciences
- School of Law
- School of Medicine
Additional Information
PURPOSE PATHWAYS
The Purpose Pathway is a key component of the Stanford Distinguished Careers Institute. Each Fellow undertakes a Purpose Pathway in one of the broad interdisciplinary areas listed below. More information on Purpose Pathways can be located at https://dci.stanford.edu/scholarly-pathway/.
Please select 1-2 pathway(s).*
- Arts and the Humanities
- Business, Leadership and Entrepreneurship
- Education, Teaching, and Learning
- Energy and the Environment
- Engineering Sciences and Design
- Healthcare
- Human Rights and Social Justice
- International Studies and Programs
- Social Sciences, Policy and Public Service
PERSONAL ESSAYS
Please provide your replies to both essays in a PDF file format document, with a max of 600-word count for each essay.
Essay One*
How might your DCI experience form (or inform) who you want to become in your next chapter? What aspects of your current identity do you want to keep and what might you change or leave behind?
Max. file size: 50 MB.
Essay Two*
Please reply to ONLY ONE of these additional questions: 1) You have 15 minutes to teach your cohort something that you’re knowledgeable and passionate about. What would you teach and why? 2) Tell us about an experience or individual that has had a significant impact on your life trajectory. What did you take away from this event (or person) and how has it (or they) influenced important life decisions?
Max. file size: 50 MB.
CURRICULUM VITAE & PHOTO
Please provide your resume or curriculum vitae in a PDF file format.*
Max. file size: 50 MB.
Please provide a photo of yourself (optional but encouraged).
Max. file size: 50 MB.
REFERENCE (A reference is required for each person applying to the program).
Please provide the name, email address and phone number of one individual whom we can contact as a confidential reference for your application. Your reference should be someone who knows you well as an individual. Two Fellows applying from the same household should provide separate references. NOTE: your reference cannot be a DCI alumnus.
Reference Name
Reference Email
Reference Phone Number
How did you hear about DCI?*
- Article
- DCI Fellow Referral
- Internet Search
- Instructor
- Email
- Personal Referral
- Social Media
- Staff Referral
- Other
Other: Source or Referral Name
Comments
This field is for validation purposes and should be left unchanged.

Stanford DCI Fellow Application

CHECK LIST

GENERAL INFORMATION

PERMANENT ADDRESS

EDUCATIONAL HISTORY

PURPOSE PATHWAYS

PERSONAL ESSAYS

CURRICULUM VITAE & PHOTO

REFERENCE (A reference is required for each person applying to the program).