BreakFree Fellowship Application For Host Organizations
Please fill out the form below if you are interested in becoming a Host Organization. A member of the BreakFree Team will reach out to you after your application is reviewed.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Organization's Name
*
Why is your Organization interested in hiring a IRAA Fellow?
*
What department or position does your Organization envision integrating your Fellow into preliminarily?
*
What resources does your Organization have in place to support your Fellow’s successful transition into your Organization?
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Having a single, direct point of contact available to support your Fellow will be critical. Have you identified who this support person would be?
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Yes
No
Undecided/Would like to discuss with you.
What office productivity software does your Organization primarily use?
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Microsoft Windows
Google Suite
Other
Is your Organization committed to the salary range that is expected of Organizations participating in the Fellowship?
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Yes
No
Unsure
Are there any additional questions or concerns that you would like to address? If yes, please briefly list your questions in the box below; we will do our best to discuss them when we schedule a call with you.
*
Submit
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