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

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

Dietary Restrictions

Nut allergy, Vegetarian/Vegan, etc.

LinkedIn Profile URL

Participant Age

If applicable, what company are you interning/working this summer.

Type "NA" if not an intern

Are you (or the participant) a ...

Participant Alma Mater (Currently enrolled or graduated)

Type "NA" if not applicable

Do you need support or resources for transportation or housing?

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?

Other

What are you most excited about for this summer program?

Select Tuition Option

Onboard|ROA Tuition (Individual)$350.00

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)$250.00

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

Quantity

Onboard|ROA Tuition (Company Sponsored Non-Investor)$350.00

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

Quantity

Enter coupon

Total $0.00

Debit or Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Select Tuition Option*

Select Tuition Option