Halloran Fellowship Application

Tell Us About Yourself

Our organization values diversity. The collection of demographic information is essential to us, as it helps us ensure that our processes are fair and inclusive. Our objective is to make certain that our programs fully represent and cater to the diverse populations we work with. We invite you to voluntarily provide demographic information below.

Name*

First Last

Email*

Enter Email Confirm Email

Country of Citizenship*

Phone*

Please include a country code.

Date of Birth*

Gender Identity*

Other, Gender Identity*

Pronouns*

Other, Pronouns*

Race/Ethnicity*

Other, Race*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Do you confirm that you are residing within driving distance to attend approximately 7 in-person engagements in Bradford, PA, throughout the course of the Fellowship?*

Yes

Not Sure

What is your highest level of education?*

Share your LinkedIn Profile*

If you don't have a LinkedIn profile, please put N/A.

How did you first learn about the Halloran Fellowship powered by Watson Institute?*

Please review the list carefully and select one option below. Use the following questions to add any additional details.

Please elaborate on your answer to the question above.*

For example: if referred, (tell us the full name of the person and Organization); if you marked a Social Media Group, (give us the name of the group); etc. Please be as specific as possible.

Are you an employee, student, faculty member, alumnus, or otherwise affiliated with the University of Pittsburgh at Bradford?*

Yes

Not Sure

If yes, please elaborate*

Halloran Fellowship Application

Applications are open.

Tell Us About Yourself

Business/Idea/Project Overview

Consent

SAP Learning Report Download Request