Fellow Application

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Use this form to apply to be an Encore Fellow. If you wish, you may save a partially-completed form and finish it later. When you are satisfied with all your responses, click the "submit" button at the bottom. When you click "submit" you will be shown a confirmation page where you may review and click "confirm" to finalize your responses. You will also have a "print" option at the bottom of the page. Once you have confirmed the form, you will no longer be able to edit it, and your information will be added to our database and routed to appropriate Encore Fellows programs for their consideration. Thank you for your interest in Encore Fellowships!

Note: this form has been tested on all the most popular computer models and Internet browsers, but you may encounter issues with some tablets, smartphones and public computer security filters.

Contact Information


Responses to the following demographic questions are recorded confidentially and used solely for evaluation purposes to assess aggregate fellow applicant pools across various demographic criteria. Responses to these demographic questions are voluntary and will NOT be shared with potential work hosts or otherwise used for purposes of matching you in a fellowship.

The following optional questions are related to retirement and post-retirement work. Your answers are greatly appreciated, will be kept confidential, and are not associated with your Encore Fellowship in any way.

Issue Area

Location Preference

Schedule Preference

Skill Assessments

Please rate your skill level in the following areas. Indicate your highest proficiency level for each category.

Personal Attributes

Application Questions

Please submit a copy of your resume.

Thank you for your interest! If you have any questions about this form, please contact us at info@cogenerate.org. Questions about a specific program should be directed to the sponsoring organization.

(please note that saving a form is not the same as submitting it. Your information will only be submitted for consideration once you hit the Submit button below)

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.