Nominate yourself for The Build Fellowship

Your information

Your first name
*
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Your last name
*
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Your email
*
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Your phone number
*
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Country of residence
*
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Benefactor information

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What is a benefactor?

An employer or other benefactor responsible for the Fellowship financial commitment. Note that Fellows are not allowed to pay the cost of their Fellowship themselves.

Who will be funding your fellowship?
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Benefactor representative first name
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Benefactor representative last name
*
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Sponsor email
*
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Employment information

Which best describes you?
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Current field of work
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Academic information

Highest degree level
*
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Field of study
*
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Please list all degrees you have obtained and the country in which you studied

*

If you have not earned a degree, please describe your years of work experience and expertise.

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Immigration information

If currently in the U.S., what is your visa status?
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Please specify your CPT university

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If currently in the U.S., what is your visa status expiration date?
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About the fellowship

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How did you hear about us?

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Thank you!

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