Gov21 | The 21st Century Government Innovation Program Application • Partnership for Public Service

For more information, contact Jennifer Benbow at jbenbow@dev.ourpublicservice.org or (202) 495-3339

*Please note, many agencies have specific application guidelines for their employees. Before submitting your application, please make sure that you are following your agency’s internal guidelines and that you have permission from your agency’s leadership to participate in this program.

Notice for Department of Homeland Security Employees

Other DHS applicants have recently notified us of a DHS firewall-related issue that may prevent form submission. We are currently trying to work with your department to resolve the issue. If you are unable to submit an online application, please contact Jennifer Benbow at jbenbow@dev.ourpublicservice.org or (202) 495-3339 for alternative application options.

Application form

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Program Enrollment

Which Gov21 program cohort are you applying for?

Fall 2025 (Virtual)Spring 2026 (Virtual)Summer 2026 (Virtual)Select your desired cohort. Review the program dates on the Gov21 program page to ensure you choose the correct one. This program is not offered in a hybrid format.

Before submitting your application, please attest that you have permission from your agency to participate in this program and that you will attend all six program dates.

Please check the box

Application Type

Personal Information

Salutation

First Full Name

Middle Name or Initial

Last Name

Nickname

Job Title

Occupation

Are you a:

Federal Government EmployeeState or Local Employee

Department or Agency

Other Department or Agency

Subcomponent

Office or Work Unit

State

County or Municipality

Agency Name

Full State / Local Agency Name

Please double check above that the full name of the agency is correct.

Work Phone

Mobile Phone

Home Phone

Preferred Phone Number

Work Email

Personal Email

Preferred Email Address

Work Address

Address Type

Street

City

State

Zip Code

Country

Home Address

Address Type

Street

City

State

Zip Code

Country

Emergency Contact Name

Emergency Contact Phone

Supervisor Information

Salutation

Supervisor First Name

Supervisor Last Name

Supervisor Job Title

Supervisor Phone

Supervisor Email

Street

City

State

Zip Code

Country

Professional Experience and Objectives

GS Level or Equivalent

Why have you chosen to apply for this program? Describe one thing you hope to take away from it. Limit 150 words.

Please include any additional information that you think would be useful.

Supervisor Endorsement Form

Your supervisor endorsement form must come from your direct supervisor. You may upload the file here (preferred) or email it directly to Jennifer Benbow at jbenbow@ourpublicservice.org. The file should be no larger than 1MB and no longer than two pages.

Tuition Payment Information

Please make all checks payable to Partnership for Public Service, Inc., and remit to company address. If you wish to pay by credit card or wire transfer, or for any other questions, please call the Partnership Finance Department at 202-996-5288 or email invoice@ourpublicservice.org.

Intended form of payment, if known

ACH Wire TransferCheckPurchase OrderCredit Card

Purchase Order Number (PO#)

Please attach any payment document (e.g., SF182) below:

Check this box if you do not currently know your agency's Payment Point of Contact information

Agency Payment Point of Contact (POC) Information

Payment POC name:

Payment POC email address:

Payment POC phone number:

Supplemental Information

How did you learn about this training program?

Name and agency of Gov21 alumni who referred you:

I understand that there will be around one hour of homework after each program day. This may consist of readings, videos, activities and/or discussion questions assigned to deepen and contextualize content outside class hours.

Please check the box.

Once accepted into this program, your non-refundable tuition payment will be required before the program start date. If you can no longer attend, you may defer your program registration for up to one year. For any questions or concerns about making payment before the program start date, please contact our team at invoice@ourpublicservice.org.

Limited spots are available. If the program is full at the time of your application, you will be placed on a waitlist or automatically enrolled in the next cycle. Our team will keep you updated about your enrollment status.

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Contact Information

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