Seattle Community Carrot Candidate Application

Application for Seattle Community Carrot Entrepreneurship Training Program Beginning October 2023

Community Carrot values diverse backgrounds and lived experiences. We are seeking applicants to our program who are between 18 and 24 years old, not currently in school, live in the Seattle area, and come from a low income background. If this sounds like you, we encourage you to apply.

Part I: Contact information.

We ask this information so we know how to reach you.

Name:*

First NameLast Name

Birth Date*

MonthDayYear

E-mail Address:

Phone Number:*

Area CodePhone Number

Address:

Street Address

CityState

Zip Code

Are you consistently able to send and receive text messages?

YesNo

Preferred method of contact:

PhoneTextEmail

Who should we contact if we can’t find you?

Name:

Relationship to you:

Contact information:

Part II: Tell us about your interests

Why are you interested in learning how to run your own business?

You don't need a business idea to be in our program. However, if you do have an idea that interests you, please share a little bit about it:

Part III: How can we help you succeed?

We make every effort to accommodate those with children, experiencing homelessness, and/or in need of technology or social services. To help us plan for our class, please let us know of any needs or challenges you hope to overcome, that our life coach will look forward to helping you with.

If we were to offer classes in person, what support would you need (check all that apply):

Bus passChild careMealsOther

Do you have access to reliable wifi/internet access and a quiet place to take our class if we don't meet in person?:

YesNo - I would need help finding a spot

I have regular access to a working computer:

YesNo

I have regular access to reliable wifi:

YesNo

Part IV: Share your education background

Your education level will have no impact on your ability to be in our program. However, the information helps us to better prepare for the upcoming program. As a reminder, we do not accept participants who are currently enrolled in school, or who will be in school during the Carrot program.

Are you currently in school or taking classes:

YesNo

What is the highest amount of education you have received (choose one):

What is the name of the last school you attended?

When was the last year you were in school?

Do you anticipate being in school in the next 9 months?*

YesNo

Part V: Share your availability

Are you currently working:

YesNo

If so, where?

Average hours you work each week:

Are you work hours the same from week to week?

YesNo

Please put an X through the hours that you are consistently NOT available:

	MON	TUES	WED	THURS	FRI	SAT	SUN
8am
9am
10am
11am
Noon
1pm
2pm
3pm
4pm
5pm
6pm
7pm
8pm
9pm

Part VI: Income Verification.

Carrot seeks to help young adults who come from low income backgrounds.

What was your income over the last 12 months?*

Per*

monthyear

Part VII: Assessment:

Read each statement carefully and enter a score in the right-hand column based on how well the statement agrees with your feelings. Use a scale of 1 to 4: (1 - strongly disagree / 2 - disagree / 3 - agree / 4 - strongly agree)*

	strongly disagree	disagree	agree	strongly agree
I enjoy competition in work and play.
I often set goals for myself and meet them.
I’m good at motivating myself. Nobody has to get me going.
I like being responsible for myself and making my own decisions.
I enjoy seeking out new challenges.
No matter what I do, things are not really going to change for me.
I’m comfortable taking risks.
In group situations, I often take a leadership role.
I welcome opportunities to adapt, improve and grow.
I’m not the type to put things off when they need doing.
I have an open mind. I consistently challenge my own thinking.
Other people usually cause me to feel the way I do. I'd be more centered if it weren't for them.
I inspire enthusiasm and commitment in other people.
I’m a naturally curious person who enjoys learning new things.
I believe I have something valuable to offer the world.
I wake up early, feeling alert.
I know how to cope with uncertainty and stress.
Conversations with friends are often about how hard my life is.
I don’t get discouraged easily. Challenges motivate me to try harder.
I can accept and learn from constructive criticism.
I often identify new skills I need and work at acquiring them.
When things start going wrong, I usually find a way to make them right.
I’m willing to work hard to achieve goals that mean a lot to me.
Where other people see threats, I see opportunities.
I have a strong sense of personal ethics.
I can make up my mind in a hurry if I have to. These decisions usually turn out well.
People tell me I’m a good communicator.
I believe in being fair, so I aim for win-win situations whenever I can.

Total Points: