Work Host Registration (Step 1 of 3)

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This is Step 1 of the application process to host an Encore Fellow. Once you have submitted this short registration form, you will receive an email from us with links to the other two forms:

1. a Work Host Profile form (the RED form)

2. a Fellowship Position Description (the GREEN form). You may submit this form multiple times if you wish to submit more than one position for consideration in the program.

Thanks for your interest in Encore Fellowships!

Contact Information - Please enter the primary contact for your organization

Thank you for your interest. If you have any questions about this form, please contact us at Questions about a specific program should be directed to the sponsoring organization.
To complete your application, use the links in the confirmation email we will send you to submit the Work Host Profile and one or more Fellowship Position Description forms.
Note: The programs of The Encore Fellowships Network maintain a policy and practice of non-discrimination of program participants based on race, sex, religion, nationality, disability, sexual orientation or age.

Data Privacy Statement

When you submit data as part of the Encore Fellowships application and evaluation processes, you agree to the terms outlined in our data privacy statement. Please remember that while we are very committed to respecting applicant privacy, the nature of the application and matching process requires that we share information you provide us with other organizations. The data privacy statement helps explain what you can expect with respect to our treatment of your information.