Fillable CONTACT INFORMATION Please complete the I&A Fellows Program (Institute for Intergovernemental Research)

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CONTACT INFORMATION Please complete the I&A Fellows Program (Institute for Intergovernemental Research)

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Please complete the I&A Fellows Program Application, and submit the completed form to the DHS Ofce of Intelligence and
Analysis (I&A), using one of the following methods:
a. Complete the form electronically and e-mail it with your resume and letter of recommendation to IA.Fellows@hq.dhs.gov
b. Scan the completed form and e-mail it with your resume and letter of recommendation to IA.Fellows@hq.dhs.gov
Applications and supporting materials must be submitted by 5 P.M. EDT on the 30
th
or 31
st
of each month for consideration
in the I&A Fellows Program.
CONTACT INFORMATION
Name (Last, First, Middle):
Street Address:
City: State: Zip Code:
Telephone Number: (Home) (Work) (Cell)
E-mail: Fax:
EMPLOYMENT
Description of Role/Responsibilities/Duties:
Title:
Agency Street Address:
City:
Fusion Center Afliation, if any:
Home Agency:
State: Zip Code:
Specialized Position Related to Intelligence and Information Sharing:
Date of Appointment to Current Position:
Supervisor Name: Supervisor Phone Number:
16-319-IA
EDUCATION
Name of College or University:
Major/Concentration:
Degree/Credit Hours Completed:
Other Specialized Skills, Schools, and/or Training:
Description of Course Design/Development Experience, if applicable (Include Relevant Dates):
OTHER
Do you currently hold a security clearance? Yes: No:
If “yes”, please select the level and the sponsoring agency
If selected for the fellowship, will you require housing?
Yes
:
No:
If selected for the fellowship, will you require transportation? Yes: No:
Please check the location and position for which you would like to apply:
I&A Headquarters
NCTC as an analyst
For both NCTC and I&A HQ positions, please provide a written statement (no more than two pages) addressing the
following participation requirements:
• the position you are seeking in the I&A Fellows Program (Applies to I&A HQ location only)
• the learning objectives you plan to gain while in the position at I&A
• your SLTT experience you will bring to the position
• how your participation in the I&A Fellows Program will strengthen information and intelligence sharing partnerships
in your area
• how you can contribute to joint analysis and production; and
• the participation objectives you would like to accomplish at the Fusion Center during the second year.
• (Please attach pages or a separate document if necessary)
Please explain any other necessary requirements
When the application is complete, attach your resume and letter of recommendation to the e-mail
with the Subject Line as I&A Fellows Program Application, and send to IA.Fellows@hq.dhs.gov
Privacy Act
SUBMIT
16-319-IA
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CONTACT INFORMATION Please complete the I&A Fellows Program (Institute for Intergovernemental Research)

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Completed 19 July 2020

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