Work Host Registration and Organization Description

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This is the Encore Fellowships Work Host Registration and Organization Description form. Once you have completed this form, you will receive an email from us with a link to add a Fellowship Position Description. You may submit this form multiple times if you wish to submit more than one position for consideration in the program. Once you have submitted one or more Fellowship Position Descriptions, your application will be complete.

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 of the form. When you click "submit" you will be show 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 your responses, you will no longer be able to edit it, and your information will be routed to appropriate Encore Fellows programs for their consideration.

Thank you for your interest in Encore Fellowships!

Contact Information - Please enter the primary contact for your organization

Organization Information

CEO/ED Contact Information

Organizational Capacity and Readiness to Host Fellow

Thank you for your interest. When you click on the "submit" button below you will be shown a confirmation page where you can review and then click "confirm" to finalize your responses. You can also find a "print" option at the bottom of that page. Your information will only be submitted for consideration once you hit the "submit" button below and the "confirm" button on the page that follows. 

Please note that your completed application to be a Work Host must include both this form and one or more Fellowship Position Descriptions (the link to the Fellowship Position Description form is included in the email you will receive when you "confirm" this application). 

If you have any questions about this form, please contact us at Questions about a specific program should be directed to the sponsoring organization. 
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.