Pathways4Equity Application

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 *

First Name Middle Name Last Name
What is your date of birth? *

Month Day Year
Date
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Please list your Primary Phone Number *

Area Code Phone Number
Email Address *
What is your gender identity? *

Female Male Transgender Non-binary Prefer not to answer
Ethnicity *

Hispanic or Latino Not Hispanic or Latino
Race *

American Indian or Alaska Native Asian Black Pacific Islander White Multi-racial Other
Please list your Social Media Handle(s) *
Facebook, Instagram, Twitter
Have you or a Family Member been impacted by incarceration? Please select all that apply *

Myself Spouse Parent Sibling None
Education Background *
How many years of work experience do you have? *
Previous Employer 1 *
Employer 1 Job Title *
Employer 1 start date *

Month Day Year
Date
Employer 1 end date *

Month Day Year
Date
Employer 1 end pay rate *
Previous Employer 2 *
Employer 2 Job Title *
Employer 2 start date *

Month Day Year
Date
Employer 2 end date *

Month Day Year
Date
Employer 2 end pay rate *
Pervious Employer 3 *
Employer 3 Job Title *
Employer 3 start date *

Month Day Year
Date
Employer 3 end date *

Month Day Year
Date
Employer 3 end pay rate *
Current annual household income *
Number of people living in your household *
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
Do you have a resume, bio, or CV? *
If yes, please attach here. If no, please contact Arlene at the email address below and we will help you.

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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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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. *

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 *

Clear
For questions please contact Arlene Benavidez at arlene@thelohm.org.
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Pathways 4 Equity Application