2021 ROMBA Fellowship Interest Form

Please complete this form to notify schools of your interest in the ROMBA Fellowship.

Entries are submitted to schools on a monthly basis.

By completing this form, you consent to Reaching Out notifying schools participating in the Fellowship and sharing the following information: your name, email, phone, and location.

1. First Name *This question is required.

2. Last Name *This question is required.

3. Phone Number (include country code if outside US) *This question is required.

4. Email *This question is required.

5. Where are you currently based (e.g. city/state)? *This question is required.

6. Country *This question is required.

7. I identify as (your responses will be kept confidential) *This question is required.

8. I identify as (your responses will be kept confidential) *This question is required.

9. Do you identify as Transgender? (your responses will be kept confidential) *This question is required.

10. I plan to start my MBA/Graduate program in the *This question is required.

If you selected other, please tell us your time frame for applying.

11. If you have been accepted AND have committed to a MBA/Graduate Program, please select your program below.