This section is to be completed by the Fellowship applicant's supervisor. Please review the main application instructions page before completing this form. You cannot save this form, so be sure to complete and submit the form before closing the tab or navigating away from this page. You can download a Microsoft Word version of the form on the main page in order to prepare your answers. The application materials are not complete until both the applicant and the supervisor submit their respective forms. Supervisor Name* First Last Organization*Title*Email* Phone*Fellow Applicant Name* First Last Briefly describe the work your organization has done to bridge the digital divide. What is your vision for how the Fellow's project will contribute to that work?* How will you ensure that organization staff are engaged in supporting the digital inclusion work led by the Fellow?* What resources will your organization have available to support success of the project? What additional resources may be needed, and how will you secure them?* Is digital inclusion currently a part of your strategic plan? If so, how will the Fellow's project fit in? If not, how will the Fellow's work help build a digital inclusion movement in your organization?* What about the applicant makes them the best person from your organization to do this work?* Acknowledgement of obligationsPlease check each box below to acknowledge that you understand the commitment the applicant and your organization are making to this program.Orientation* I understand the Fellow will be required to attend a three-day in-person orientation in Portland, OR, the week of February 19th. (Travel, lodging, and related expenses are covered by NTEN, no additional costs will be incurred.) Goals* I understand the Fellow will be required to craft a year-long project plan that must be approved by the supervisor, and that includes goals agreed upon by the organization and NTEN for serving a specific number of unique participants, instruction hours, trained volunteers, newly staffed lab hours, or other related service areas. These goals will be tracked by the Fellow and reported to NTEN on a monthly basis. Should the Fellow leave the organization, another staff member will report program outcomes on a monthly basis. Fellows are expected to serve at least 200 unique participants. (While 200 is a baseline for the program, NTEN will work together with the Fellow and Supervisor to make sure the goals are feasible for each organization.) Online Training* I understand the Fellow will be required to participate in monthly online trainings. The time commitment for these trainings will range from 1 to 2.5 hours per month, depending on the format of the training. Cohort Community* I understand the Fellow will be required to participate in monthly cohort calls with all the other Fellows. These calls will require 1 hour per month. The Fellow also commits to being an active participant in the cohort message board. NTEN Check-ins* I understand the Fellow will participate in a monthly 1-on-1 check-in with Digital Inclusion Fellowship staff to discuss plans, progress, challenges, etc. These calls may be 15 to 60 minutes long. The supervisor may occasionally be asked to join the check in.