Pathways 4 Equity Application
Thank you for your interest in the Pathways 4 Equity Program, a unique and comprehensive career fellowship program designed for women directly affected by the criminal legal system. The Ladies of Hope Ministries (LOHM) is committed to excellence through diversity regardless of race, ethnicity, religion, or lived experiences. The demographic information we are gathering in this application will only be used for program data. The selection of the program participants is based on eligibility as described in the application instructions. Thank you in advance for completing this application.
What is your Full Name
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First Name
Middle Name
Last Name
What is your date of birth?
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Month
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Day
Year
Date
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please list your Primary Phone Number
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Area Code
Phone Number
Email Address
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What is your gender identity?
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Female
Male
Transgender
Non-binary
Prefer not to answer
Ethnicity
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Hispanic or Latino
Not Hispanic or Latino
Race
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American Indian or Alaska Native
Asian
Black
Pacific Islander
White
Multi-racial
Other
Please list your Social Media Handle(s)
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Facebook, Instagram, Twitter
Have you or a Family Member been impacted by incarceration? Please select all that apply
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Myself
Spouse
Parent
Sibling
None
Education Background
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High School Diploma/GED
Technical/Vocational certification
Associates
Bachelors
Masters
Doctorate
Other
How many years of work experience do you have?
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0-5
5-10
10+
Previous Employer 1
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Employer 1 Job Title
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Employer 1 start date
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Month
-
Day
Year
Date
Employer 1 end date
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Month
-
Day
Year
Date
Employer 1 end pay rate
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Previous Employer 2
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Employer 2 Job Title
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Employer 2 start date
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-
Month
-
Day
Year
Date
Employer 2 end date
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Month
-
Day
Year
Date
Employer 2 end pay rate
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Pervious Employer 3
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Employer 3 Job Title
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Employer 3 start date
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Month
-
Day
Year
Date
Employer 3 end date
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Month
-
Day
Year
Date
Employer 3 end pay rate
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Current annual household income
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Number of people living in your household
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Can you commit to a 12 month fellowship program?
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Yes
No
What type of career is most interesting to you and why?
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Why do you think you would be a good match for this program?
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Is there anything else you would like to tell us about yourself?
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How did you hear about this program?
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The LOHM Website
LOHM employee
Social Media
Do you have a resume, bio, or CV?
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Yes
No
If yes, please attach here. If no, please contact Arlene at the email address below and we will help you.
Browse Files
Cancel
of
Please create a 1-minute video telling us about yourself and upload the video here or send viaemail to: arlene@thelohm.org
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Browse Files
Cancel
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PART 2: EMPLOYABILITY SKILLS INVENTORY Using a rating scale of 0 to 4 (0 = No Experience, 1 = Below Average; 2 = Average; 3 = Good; 4 = Excellent), please rate yourself in the areas listed below. We encourage you to be honest, the ratings you provide will not impact your eligibility for the program. These ratings will help us better understand your professional development needs.
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0
1
2
3
4
Reliability
-Reporting to work on days scheduled; arriving on time; following through on tasks
Communication (written)
-Writing assignments; creating letters or reports
Communication (verbal)
-Articulating thoughts while meeting with people in-person or presenting ideas to a group of
people
Critical Thinking
-Ability to understand, analyze, interpret information, and draw conclusions
Ethics
-Values, principles, honesty, trustworthiness
Initiative
-Making or suggesting improvements; not waiting to be told what to do
Learning
-Ability to understand new things; taking on new tasks; researching topics to find answers
Leadership
-Taking the lead with assignments; displaying confidence in your abilities
Organizing and Planning
-Prioritizing work; using organization tools or techniques
Problem Solving
-Brainstorming; finding solutions to challenges; addressing complaints effectively
Quality
-Work produced is accurate and professional
Responsible
-Able to work with minimal supervision, taking responsibility for assignments
Teamwork
-Group assignments; ability to get along with others; personable, approachable
Technology (Computer)
-Ability to use a computer for work purposes; knowledge of computer software i.e., Google Docs or Microsoft Word, Excel, Power Point
Time Management
-Using work time wisely; completing assignments on or before due date
Please add your individual ratings and provide the total.
Signature
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Clear
Submit & Thank you!
For questions please contact Arlene Benavidez at
arlene@thelohm.org
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