2025 Employment Candidate Intake Form
Name
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Desired Position
*
How did you learn about this opportunity?
*
Please Select
Friend/Contact
Email
Text
Website
Other
Are you willing to commit work part-time at 10-20 hours/ per week?
*
Please Select
Yes
No
This is an in-person position located in Washington, D.C. Are you currently in the area or willing to relocate to accept this role?*
*
Please Select
Yes
No
What is your availability during the summer 2025? (Check all that apply)
*
Weekday Mornings
Weekday Afternoons
Weekday Evenings
Weekends
What is your availability during the school year 2026? (Check all that apply)
*
Weekday Mornings
Weekday Afternoons
Weekday Evenings
Weekends
Preferred Employment Type:
*
1099 Independent Contractor
W-2 Employee
Open to Either
What is your minimum acceptable hourly pay?
*
Are you interested in future contract or long-term opportunities beyond this role?
*
Please Select
Yes
No
Do you have experience supervising or mentoring youth?
*
Please Select
Yes
No
How do/would you get around the city for work?
*
Please Select
Personal Vehicle
Public Transportation (Metrorail, Metro Bus, etc.)
Rideshare (Lyft, Uber, etc.)
Walk
Other – Please Specify
At Youth Entrepreneur Institute, we are deeply committed to serving and uplifting communities, especially those East of the River in DC who are at risk of being left behind due to educational and economic disadvantages. These communities are not just beneficiaries; they are our beating heart because they are our neighbors, friends, and parents. Their stories are our stories, and their success is our success. Understanding the unique experiences and perspectives of these communities is crucial to our work. In line with this commitment, please share with us your personal connection to these communities below.
Did you grow up, currently live, or have a significant connection to East of the River DC or a relatable area? How have these experiences shaped your understanding of the challenges faced by these communities and your passion for working with youth in such areas? Your insights will help us understand how your background and experiences align with our mission and community-focused approach.
Upload Resume
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload Cover Letter. Special Note: Cover letters should detail not only your relevant work experience but also your mission alignment with our work, and how diversity, equity, and inclusion guides the work you do.
Upload a File
Drag and drop files here
Choose a file
Cancel
of
References
Please list two (2) references that are familiar with your work life.
Reference
*
Reference
Additional Comment/Notes
Voluntary Self-Identification
For government reporting purposes, we ask candidates to respond to the below self-identification survey. Completion of the form is entirely voluntary. Whatever your decision, it will not be considered in the hiring process or thereafter. Any information that you do provide will be recorded and maintained in a confidential file. As set forth in Youth Entrepreneur Institute's Equal Employment Opportunity policy, we do not discriminate on the basis of any protected group status under any applicable law.
Gender
Please Select
Male
Female
Gender Non-Binary / Non-conforming
Other
Prefer not to answer
Race/Ethnicity
Please Select
Asian
Native Hawaiian or Other Pacific Islander
Black/African-American
White
Hispanic/Latino
American Indian/Alaska Native
Other
Prefer not to answer
Pronouns
Please Select
She/Her/Hers
He/Him/His
They/Them/Theirs
Prefer Not to Say
Submit Application
Should be Empty: