:: New York Mentee Application

NYC Mentee Application

Thank you so much for your interest in the StreetWise Partners program. Please complete the application below. We use this application to ensure we make the best mentee/mentor pairs possible so it is important that you answer all of the questions. Once your application is complete you will receive an email notifying you of next steps. We look forward to working with you!

The StreetWise Partners Fall cycle begins the week of September 8, 2020 and ends the week of December 8, 2020. What days best reflect your availability for the fall cycle.*

Please hold down the "Ctrl" button and click all of the choices that apply to you.

Contact Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone*

Cell Phone*

Email*

Background Information

Date of Birth*

What is your gender?*

What ethnic group do you identify as?*

Please hold down the "Ctrl" button and click all of the choices that apply to you.

How did you hear about StreetWise?*

If you were referred by a social service agency, training program, college, or other organization, what is the name of the organization that referred you?

If you were referred by an alumni or volunteer, what is their name?

Are you a U.S. Citizen?*

Yes
No

If you are not a U.S. citizen, what documents allow you to work legally in the U.S.?*

If you are a U.S. citizen select "Not Applicable"

If other, please explain

Is English your first language?*

Yes
No

Are you a first generation American or recent immigrant?*

Are you the first person in your family to go to college?*

Have you ever served in the United States Armed Forces?*

Please indicate your marital status*

Are you a caretaker and/or responsible for anyone under the age of 18?*

Yes
No

Financial Information

How much money did you make in the last year?*

Please estimate to the best of your ability

How many people are you financially supporting?*

This includes yourself

What was your household income last year?*

This includes spouse or family members living in your home.

How many people are in your household?*

This includes spouse/partner, parents, siblings, children, extended family, etc.

Is anyone else financially supporting you?*

Yes
No

Social Services

Do you receive any social services?*

Yes
No

Please select all of the services you receive.*

Please hold down the "Ctrl" button and click all of the choices that apply to you.
If you do not receive social services select "Not Applicable".

Do you have a history of substance abuse?*

This will not affect your eligibility for the program. It will help us match you with a mentor.

Yes
No

Have you ever been convicted of a crime?*

This will not affect your eligibility for the program. It will help us match you with a mentor.

Yes
No

If you have been convicted of a crime please explain:

Employment

Are you currently employed?*

Yes
No

Which one of the following shifts do you work?*

If you are not currently working select "Not Applicable"

Name of Employer*

If you have more than one indicate your primary employer. If you are not employed write "Not Applicable".

What is your job title?*

If none, write "Not Applicable"

Are you currently looking for employment or an internship?*

Yes
No

What shifts are you looking to work?*

Please hold down the "Ctrl" button and click all of the choices that apply to you.
If you are not looking for employment select "Not Applicable".

Education

What is your highest level of education completed?*

Are you currently enrolled in college?*

Yes
No

What level of college degree are you pursuing?*

If you are not pursuing a degree select "Not Applicable"

What year of college are you currently in?*

If you are not currently pursuing a degree select "Not Applicable"

Name of College

If you have a college degree what is the name of the college you graduated from?

Have you ever attended a skills training program?*

Ex: Per Scholas, STRIVE, Year Up, etc

If yes, which program(s) and when did you attend/graduate?

Please include all that you've attended

Computer Access

Do you have regular access to a computer?*

Yes
No

Does the computer have a camera and microphone?*

Yes
No

Do you have regular access to a reliable internet connection?*

Yes
No

Matching Form

What industry are you most interested in?*

Select four of the focus areas where you feel you need the most support.*

Interviewing: Discuss and practice interview techniques
Networking: How to sell yourself, how to form and maintain relationships
Job Search Skills: Where to look and how to apply for a job; how to follow-up on your resume or application
Professional Communication: Verbal and written communication skills including email etiquette
Public Speaking: Becoming more confident speaking in front of a group
Resume Writing: what to include, formatting and language
Project Management: Meeting deadlines, setting a schedule and making productive use of your time

Choose up to four below. Hold "ctrl" to select more than one.

Mentor Communication Style: What communication style will help you learn best?*

Direct and to the point: Someone who will push you and be honest
Honest with a soft approach: Someone who will be honest and supportive at the same time. Lead you in the right direction and give a soft push, but not push too hard.
Coaching: Someone who has a collaborative approach to feedback and will explore all avenues until you both agree.

Choose one below

Direct and to the point
Honest with a soft approach
Coaching

Please answer the following question: What is your ideal job and how did you become interested in that career? (One page or less. Create a word document with your answer, save it as a pdf and upload here.)*

Please upload your resume (in pdf format)*

My signature indicates that all information in my application is complete, factually correct, and honestly presented.*

Please write your full name, no initials.