INROADS REWARDS Program Individual Registration
First Name *
Middle Name *
If no middle name, type NMN
Last Name *
University/College Name *
Name of institution
Personal E-Mail Address * or (do not use school email)
School E-Mail Address
Phone # *
Example: (515-458-5555)
Which social media do you use? Check all that apply. *
Are you match eligible? *
Match Eligible = Completed application, CPS and PRS complete, uploaded most recent transcript, change resume to INROADS Resume template, passed mock interview.
If match eligible, when did you become match eligible?
Must have completed all INROADS requirements including CPS, mock interview and resume review.
Did you get an internship with INROADS? *
If you were offered an Internship, what's the name of the corporate partner?
Name the organization/club or INROADS candidate that informed you of the INROADS opportunity. *
(Jose Smith or SHPE or NSBE or SACNAS)
Do you accept the terms and conditions of the INROADS REWARDS Agreement? *
Thank you in advance for helping make the INROADS REWARDS Program a success.We hope to share your experiences to ensure that the program continues to improve and better serve all who participate. Most of all, we look forward to working with you as we continue to promote the INROADS mission. Would you be interested in an INROADS presentation on your campus? *
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