Prestige Learning Institute
Date of Birth
Cell Phone Number
When did you come to the United States?
Where are you from?
What is your immigration status?
If you choose other, please explain
How many Children do you have?
5 or more
What are your children's ages?
What is your highest level of education?
What is your degree?
Did you work with the U.S. Military as an interpreter or translator. If yes, please tell us about your experience.
What was your profession in your home country?
Please tell us a little bit about what you have been doing since you arrived in the United States.
What days are you generally available to meet with a mentor? Answer for every day.
9am - 12pm
12pm - 3pm
3pm - 6pm
6pm - 9pm
How often are you available to meet with your mentor?
Multiple times a week
One time a week
Multiple times a month
What is your current employment status?
Full Time Employed
Part Time Employed
Are you Interested in Job opportunities with Cintas?
We ask you to commit to this program for 6 months. Are you willing to participate for the 6 months?
What are your career aspirations? Please be specific about the types of careers or industries you are interested in.
Please provide a short introduction paragraph for your Mentor. Briefly touch on why you would like to join the program, as well as your background, experiences, current job title/description, and interests.
What specific goals do you want to achieve with a Mentor through PLI?
What areas are you interested in pursuing with your mentor?
Higher Educational Goals
Please select from the following fields which you are most interested in pursuing.
Better understand career goals
Resume and interview skills
Information Technology (IT)
If you answered "Other" to the previous question, please provide a more detailed explanation.
Do you have any comments or questions for us?
Should be Empty: