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.
Program SFID
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

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 Primary Responsibilities
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 Primary Responsibilities
Employer 2 start date *

Month Day Year
Date
Employer 2 end date *

Month Day Year
Date
Employer 2 end pay rate *
Previous Employer 3 *
Employer 3 Job Title *
Employer 3 Primary Responsibilities
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
If someone referred you to the Pathyways 4 Equity Program, please provide us with their name and/or the organization?
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.

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

Browse Files

Cancel of
Were you able to submit a 1-minute video telling us about yourself?

Yes, please see attached No, I have questions or need more time to provide. Please contact Arlene at the email address below and she will help you.
Signature *

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