General Information

Please upload a photo of yourself.

*Required.












Do you expect to remain in your home county for at least five years?*

YesNoUnsure

Do you expect to remain in South Carolina for at least five years?*

YesNoUnsure

Do you speak Spanish?*

YesNo

Employment






Please Provide your last three employers beginning with the most recent. Include your employer, position, and the period of employment (Mo/Yr).*

Education and Training

Please list specialized programs/training, business/trade schools, and college(s) attended beginning with the most recent. Include the school or program name, dates attended, and your certificate or degree.*

Organization and Leadership Activities

Please list, in order of importance to you, your current participation in political, community, professional, social, religious and other activities. Please include position held where applicable and dates of participation.*

Briefly state what you would consider to be your most important contribution to the above organizations.*

Do you currently hold elected office? If so what position?*

YesNo

Do you aspire to run for office?*

YesNoUnsure

Personal Statement, Writing Sample and Resume

Please describe your personal goals, including any political activity you wish to pursue. What outcomes do you hope for as a result of your participation in the Clyburn Fellowship? 750 character limit. Either type your answer below or upload a document.*


Please submit a writing sample. This can be previous academic work or may follow our prompt. The prompt being: What is your vision for the the state of South Carolina and how are you a part of that vision? 250 words suggested, 500 word maximum. Previously completed works should be no more than 1000 words. Either type your answer below or upload a document.*


Please submit two letters of recommendation. These letters may be from anyone, however we would love to see letters of recommendation from those who have reported to you or have worked with you. Do not include family members. Please provide the following information about your recommenders in the space below: Name, Title/Organization, Phone Number. The recommender should mail the letter of recommendation to 915 Lady Street, Suite 111, Columbia, SC, 29201.*