Municipal Fellowship Intake Form

  1. Name of Entity, Organization, or Municipality
    a. Municipalities Served (if relevant) 
  2. Name & Title of Form Respondent
    a. What is the best way to contact you?
     Email,  Phone Call, Text 
  3. What specific projects or initiatives would a fellow support with? List all you have in mind.
    a. Category (check all that apply): Solar; Electrification; Geothermal; Grant writing/application; Community Outreach; Marketing
    b. Please describe the projects/initiatives you would have a fellow support with
    c. Please describe any data needs in terms of energy/environmental indicators that are necessary for project completion that your entity does not currently have
    d. How do these projects advance decarbonization towards the goals included in the MA 2050 Climate and Energy Plan? 
  4. Can you share some details of the structure of your department including size, roles, volunteer vs paid, etc.? 
  5. Would you be willing to partner with a surrounding town if there are similar needs? Yes, No,  Maybe
  6. Preference for fellow’s location (choose one)
    a. Remote with ad hoc visits
    b. Hybrid (1-2x/week in person, other hours remote)
    c. In person for all working hours
        If Hybrid/In person, what is the location?
  7. Please list specific days/hours you'd like the fellow to work or note if this is flexible. Reminder - these positions are 20 hrs/week. 
  8. Preferences for hire – While we may not be able to match these exactly, but this will guide us in our posting and hiring efforts Soft Skills; Hard Skills; Qualifications 
  9. Who would be the day-to-day supervisor for the fellow? Name; Title/Department; Email; Phone number; Best way to contact; How often would this supervisor be able to meet with a fellow?
  10. Your entity’s human resources point of contact: Name; Title; Email; Phone number; Best way to contact 
  11. Are there other legal or security related reasons you are unable to work with an international student (non-US Citizen)? Yes (Please explain); No; Unsure 
  12. Are there any HR restrictions or processes specific to your municipality that might prolong the fellow’s onboarding process?  Yes (Please explain); No; Unsure
  13. How did you hear about this fellowship? (Check all that apply): Green Communities; CELT Connection (UML or BU); Social Media; Press; Other (Please explain)
  14. Is there anything else you would like to share with us that would be helpful in our municipality or fellow selection?