Young Professionals Mentoring Program (YMP) Application Form
Please complete all the required questions on the application. It will take at least half an hour to complete the form and must be completed in one sitting. Information obtained here is kept confidential and used solely for the purposes of the DLI - Young Professionals Mentoring Program.
Application Deadline: February 22, 2020
A. Personal Information
Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
E-mail
Cellular Number
*
-
Area Code
Phone Number
Home Number
-
Area Code
Phone Number
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Gender
*
Male
Female
Highest Level of Education
*
Bachelors
Masters
Doctorate
Other
Current Career Field/Discipline
*
Desired Career Field/Discipline (if different)
Current Occupation
*
Name of Organization/School
*
Address of Organization/School
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Preferred method of contact
*
Email
Phone
Other
List the name of your reference(s)
Your reference is the individual providing your letter of recommendation. Please note that at least one letter of recommendation is required. The instructions are provided in Section E below.
How did you learn about the Young Professionals Mentoring Program (YMP)?
RhampTV/Church Announcement
Email
Instagram
YouTube
Facebook
LinkedIn
Twitter
Office of African Affairs
YAP DC
Meetup Group
Eventbrite
Alumni/Personal Referral
Information Session/Booth
DowntownSilverSpring.com
Daniel Leadership Institute Website
Other
Referrer/Recommender
If applicable, please list the name(s) of the person(s) who referred or nominated you for the Young Professionals Mentoring Program (YMP)?
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B. Career/Leadership Information
How many years of professional work experience do you have?
*
Briefly describe your key responsibilities in your current position.
*
List any professional and/or scholastic accreditations you have received.
Indicate any other professional associations or non profit organizations with which you are affiliated.
Briefly describe an instance when you demonstrated leadership skills
*
0/100
What is your greatest accomplishment and why do you view it as such?
*
0/100
List three (3) career/ professional/ leadership goals that you hope to achieve in the mentoring year.
*
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C. Resume or Curriculum Vitae
Uploading your Resume/CV with this application is preferred. Alternatively, you can email your current resume or curriculum vitae to ymp@danielleadershipinstitute.org. However, please note that your application will be deemed incomplete until receipt. Deadline is also February 22, 2020
Resume/CV Submission Preference
Upload now
Email later (ymp@danielleadershipinstitute.org)
Resume/CV Upload
Upload a File
Cancel
of
D. Essay Question: Please discuss why you are interested in YMP, which components of the program interest you the most, and what skills or competencies you hope to acquire through this intensive one-year program.
Please limit your essay to 250 words. You can either upload your essay response here (preferred) or alternatively you can email your response to YMP@danielleadershipinstitute.org. Please note that your application will be deemed incomplete until receipt of your essay response. Deadline is also February 22, 2020
Essay Submission Preference
Upload now
Email later (ymp@danielleadershipinstitute.org)
Essay Upload
Upload a File
Cancel
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E. Letters of Recommendation
All Fellows are required to submit at least one letter of recommendation with their application. Fellows may submit additional letters of recommendation if desired. Letters of recommendation must come from someone who has worked with you in a professional and/or ministry setting, such as Community or Volunteer Colleagues, College Faculty, Supervisor, Manager, Deacon (Minister), Head of Department, or Pastor (not including relatives). Recommendation letters should speak to the Fellows' potential to succeed in the program. All recommendation letters are required to be on the appropriate letter head. References letters can be uploaded or emailed. If emailed, please instruct your references to submit responses directly to YMP@danielleadershipinstitute.org, and include "Reference for (applicant name)" in the e-mail subject line. Reference letters must be submitted via email in a Word or PDF attachment. References submitted in the body of an email, or in any other format will not be accepted. Applications are not complete until the letter of recommendation is received. Reference deadline is also February 22, 2020
Letter of Recommendation Submission Preference
Upload now
Email later (ymp@danielleadershipinstitute.org)
Letter of Recommendation Upload
Upload a File
Cancel
of
F. Tuition
The total program cost for each participant is $175.00. Payment will be needed for each fellows' participation in the program. Please contact us if any custom payment options/plans is desired. Approval for such custom plans is on a case by case basis. Note: A small amount of financial aid may be available for applicants that truly demonstrate need. Applicants seeking aid should send an email request to YMP@DanielLeadershipInstitute.org. Availability of funds is not guaranteed.
G. Commitment to 100% Participation
It is important for each participant to embark on this process fully committed to the program and to his or her classmates. Attendance at all Fellows' events is expected for the duration of the program year, however, we permit a maximum of two (2) excused absences per program year. Fellows are expected to request and receive permission at least two (2) weeks prior to the anticipated absent date.
H. Signature
I certify that I fully understand the program requirements and that the information provided is accurate
Signature (Full Name)
Signature date
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