ChangeMakerZ Application 2025

ChangeMakerZ

Professional development program for early-career biotechnology and technology professionals (August 2025-May 2026)
Name*

First NameLast Name
Email*
example@example.com
College Degree Completion Date (Month, Year)*
Which race or ethnicity best describes you?*

American Indian or Alaskan NativeBlack or African AmericanHispanicWhite/CaucasianMultiple ethnicity/otherPrefer not to answer
Please upload your updated resume (pdf)*

Cancelof
Why are you committed to living in or relocating to the Roanoke-Blacksburg region? *

0/5000
How would this program assist you in achieving your career goals? *

0/5000
Please upload a letter of support from your employer. If you are currently job searching for a position that qualifies you to participate in this program, please upload a letter of recommendation from a past employer.

Cancelof
If you are currently job searching, do you permit Roanoke-Blacksburg Technology Council to share your resume with employers?*

YesNoN/A
How did you become aware of this program?*
The undersigned hereby acknowledges that the information provided and disclosed to the Roanoke-Blacksburg Technology Council and any other person authorized by the Council is permitted to review the information for selection purposes. Verification may be obtained from any source. We hereby release from liability any person submitting information to the Council for use in the selection of program participants.*

I Agree
I affirm that all statements made on this application, including all attachments, are true and complete to the best of my knowledge. I understand that misrepresentation can become cause for denial of admission or expulsion from this program. I have also read the above statement and know that even if I qualify for the program, based on a competitive application process, I may not be selected as a participant.*

I Agree
Signature*
Today's Date

MonthDayYear
Date
At the Roanoke Blacksburg Innovation Alliance, including RAMP and RBTC, we believe everyone should have access to the tech and biotech ecosystem and its opportunities. We are committed to involving individuals and partners equally and without discrimination of race (including hairstyle/texture), color, religion, sex, sexual orientation, gender identity or expression, marital status, citizenship, genetic information, pregnancy, childbirth or related medical conditions, age, military status, disability, or national origin.
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