DAD × Lincoln Heights Outreach Inc. Career & Life Skills Program Application
This is an application for a 5 week, 10-session program designed to help you explore careers, build real-world skills, and connect with opportunities. It should take about 10 minutes to complete. There are no right or wrong answers - we just want to get to know you.
Basic Info
Name
*
First Name
Last Name
Age
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Zip Code
*
Which best describes your current situation?
*
In school
Working
Both school and working
Neither right now
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About You
Have you ever had a job before?
*
Yes
No
What are you most interested in right now? (Choose up to 2)
*
Making money
Learning a skill
Starting a career
Starting a business
Not sure yet
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Your Voice
No pressure - just be real. Short answers are fine.
What made you interested in this program?
*
If you could learn ONE thing that would help your future right now, what would it be?
*
Tell us about a time you showed up for something - even when you didn't feel like it.
*
What kind of future do you want for yourself?
*
On a scale of 1-5, how serious are you about improving your future right now? 1 = Not really thinking about it, 5 = I'm locked in
*
What made you pick that number?
*
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Program Commitment
This program runs for 5 weeks with sessions on Tuesdays & Thursdays from 5-7 p.m.
Can you commit to showing up each week?
*
Yes
I'll try
What might make it hard for you to attend consistently?
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Final Step
Why should we choose you for this program?
*
Optional: Upload a short video (30-60 seconds) telling us: who you are, what you want, why this program matters to you.
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