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 MBA notifying Fellowship schools 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.

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

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

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

11. 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.

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