Onboard|ROA Registration

If you are registering more than one employee or intern, you will need to fill out a separate form for each. You can fill out the employer information once. If you have five or more employees to register, please email michelle@roanoke.org.
Registration Type

I am an employer registering interns or new hires.I am an individual registering myself (intern, young professional, or remote works ages 18-26 are eligible).
Company Name
Company Contact

First NameLast Name
Company Contact Email
example@example.com
How many interns are you hosting this summer?
What challenges do you face with interns?
Participant Name*

First NameLast Name
Participant Email*
example@example.com
Participant Mobile Number

Area CodePhone Number
Participant Hometown

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dietary Restrictions
Nut allergy, Vegetarian/Vegan, etc.
LinkedIn Profile URL
Participant Age
If applicable, what company are you interning/working this summer.
Are you (or the participant) a ...

College StudentWorking Professional New to the AreaRemote WorkerNew HireOther
Participant Alma Mater (Currently enrolled or graduated)
Do you need support or resources for transportation or housing?

YesNo
We will reach out to your employer or college to inquire about housing and transportation support but it is not guaranteed.
Are You Interested in Learning More About Housing Interns at Roanoke College?

YesNoOther

Select Tuition Option*

Onboard|ROA Tuition (Individual)$320.00

Please select if you are an individual paying for the program not through your employer (Scholarships are available - please email julia@roanoke.org for details).

Quantity

Onboard Tuition (RRP Investor)$220.00

This option is reserved for companies who are investors in the Roanoke Regional Partnership.

Quantity

Onboard|ROA Tuition (Company Sponsored Non-Investor)$320.00

Please select if you are an employer or organization covering the tuition for your interns or new hires.

Quantity

Total $0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty: