Pathways 4 Equity Program Application

Pathways 4 Equity Program Application

Thank you for your interest in the Pathways 4 Equity Program, a unique 12-month career fellowship program designed for women impacted by the criminal legal system. We are looking for women who: 1) Participated in reentry support for one year if they were impacted by incarceration; 2) Have at least two years of work experience that includes supervision, management, or leadership; 3) Have strong communication, organization, time-management skills; 4) Experience with computer equipment and software such as Google Workspace and Microsoft Suite, and 5) Have a 100% commitment to growing personally and professionally to prepare for career-level positions with employers. The selection of program participants is based on the eligibility criteria listed above plus an interview. 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. Thank you in advance for completing this application.
Program SFID
Full Name *

First Name Middle Name Last Name
Date of Birth *

Month Day Year
Date
Address *

Street Address

Street Address Line 2

City State/Province

Zip Code Country
Phone Number *

Area Code Phone Number
Email Address *
Gender Identity *

Female Male Transgender Non-binary Prefer not to answer
Ethnicity

Hispanic or Latino Not Hispanic or Latino
How would you best describe yourself? *

Native American Asian Black Pacific Islander White Multi-racial Other Hispanic/Latinx
Please list your Social Media Handle(s) *
Facebook, Instagram, Twitter
How many children under the age of 18 live in your household? *

None One Two Three Four Five More than five
Have you or a Family Member been impacted by incarceration? Please select all that apply. *

Myself Spouse Parent Sibling None
Current Income Range *

Unemployed $25,000 or less $25,000-$50,000 $50,000-$75,000 $75,000 or more
If you were incarcerated, on what date were you released?

Month Day Year
Date
If you were incarcerated, after being released, what reentry support programs did you participate in?
Education Background *
How many years of work experience do you have? *
Name of Employer 1 *
Your Job Title *
Your Primary Responsibilities
Date you started working *

Month Day Year
Date
Date you stopped working *

Month Day Year
Date
Hourly pay rate with Employer 1 *
Name of Employer 2 *
Your Job Title *
Your Primary Responsibilities
Date you started working *

Month Day Year
Date
Date you stopped working *

Month Day Year
Date
Hourly pay rate with Employer 2 *
Name of Employer 3 *
Your Job Title *
Your Primary Responsibilities
Date you started working *

Month Day Year
Date
Date you stopped working *

Month Day Year
Date
Hourly pay rate with Employer 3 *
Your current annual household income
Hidden, for old data only
Number of people living in your household
Hidden, for old data only
Can you commit to a 12-month fellowship program? *

Yes No
What type of career is most interesting to you and why? *
Why do you think you would be a good match for this program? *
Is there anything else you would like to tell us about yourself? *
How did you hear about this program? *

The LOHM Website LOHM employee Social Media
If someone referred you to the Pathyways 4 Equity Program, please provide us with their name and/or the organization? *
Please provide contact information for two professional references (name, title, organization, email address, and phone number). *
Do you have a current resume?
Resume: Please upload a current resume here. If you have trouble uploading the resume or if you have questions, please email arlene@thelohm.org for assistance. A current resume is required to complete your application for the program. *

Browse Files

Cancel of
Video: Please create a 1 or 2-minute video giving us your name, city, and state; telling us how you have been impacted by the criminal legal system; and why you are interested in the program. Send your video through email to: arlene@thelohm.org. This video is required to complete your application for the program. *

Yes, I was able to send it through email. No, I have questions or need help creating a video. Please contact Arlene at arlene@thelohm.org.
Signature *

Clear
For questions or help creating a resume or video, please contact Arlene Benavidez at arlene@thelohm.org.
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