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 have at least two years of work or volunteer experience that includes supervision, management, or leadership. Applicants need to have strong communication, organization, time-management skills, and experience with computer equipment and software such as Google Workspace and Microsoft Suite. If you meet these qualifications, please apply. 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.
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

Zip Code
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
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? *
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 *
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
If someone referred you to the Pathyways 4 Equity Program, please provide us with their name and/or the organization? *
Do you have a current resume? *
If yes, please attach here. If not, send an email to arlene@thelohm.org for help on creating a resume. A resume is required to complete your application for the program. *

Browse Files

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Please create a 1-minute video telling us about yourself and 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.
Signature *

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