<p>Genpact Social Impact Fellowship (GSIF)</p><p>Application Form</p><p>Name</p><p>Date of Birth Current Address</p><p>Current status (Student/Working)</p><p>Details of the above: Employment status (Company, role, designation etc) OR if student (University, course details etc)</p><p>If selected, when is the earliest you can join?</p><p>E-Mail Mobile No</p><p>References (Name, Contact details, relationship)</p><p>Lean Six Sigma Green Belt certified Certification status Black Belt/Master Black Belt certified</p><p>None of the above</p><p>Total no. of years of work exp.</p><p>Page 1 What are the areas Analytics Communications CSR Finance HR IT that you have previously worked Operations Project Management Quality Reengineering in?</p><p>Sales Marketing Strategy Training Transitions</p><p>If others, please mention:</p><p>Essays (word limit – 250 words)</p><p>1) Why do you want to be a GSI Fellow and how do you hope to contribute during the fellowship?</p><p>2) What would you consider as your biggest achievement till date and why? 3) If you’ve had previous experience working with NGOs, please elaborate on what you did and learnings from the same. </p><p>4) What do you want to do post the fellowship and how does the fellowship fit into your larger career plan?</p><p>Page 3 5) Is there anything else you would like to share which would add to your candidature? In case you are LSS certified, please mention your project details and how that knowledge will add value to GSIF</p><p>Thank you for your interest in GSIF!</p>