YWCA Strive Application YWCA Strive Application YWCA Strive is a hands-on professional development and training program designed to assist women and people of color in McLean County who face employment barriers in finding a career and obtaining gainful employment. Step 1 of 4 25% Name* First Preferred First Name Last Pronouns* She/Her He/Him They/Them Email Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date of Birth* MM slash DD slash YYYY Please select the gender you most closely identify with* Woman Man Non-binary Do you identify as transgender* Yes No Please select the race(s) and ethnicity(ies) that you most closely identify with* American Indian or Alaska Native Asian Black or African-American Latinx, Latina, Latino, or Hispanic Middle Eastern or North African Native Hawaiian or Pacific Islander White Other Race/Ethnicity Are you now or have you ever been a client of Labyrinth Outreach Services to Women?* Yes No How did you hear about this program?*If you were referred by another agency or organization, please write the name of the organization and the person who referred you. Education level* Less than a High School Diploma High School Degree or Equivalent Bachelor’s Degree or Higher Employment status* Full-time Part-time Temporary or LTE Apprenticeship Intership/Fellowship Self-employed Not currently employed If employed, list your job, your title, and hours you work per week of any current jobs.Community/Volunteer ServicePlease list the type of service work, your role, hours per week of involvement, and start and end date of service.Do you have any obligations that keep you from participating in non-family or work activities?*Examples: employment, caregiving to a child or adult, etc. Yes No Please check all the days and times you would be available for program sessions.* Select All Monday - Thursday, 1:15-3:15 p.m. (in-person) Monday - Thursday, 6-8 p.m. (remote) How would you prefer to attend Strive classes?*Note: All evening classes are remote. I’m only willing to participate in the in-person program. I prefer to participate in the in-person program but would participate in the remote program if needed. I have no preference. I prefer to participate in the remote program but would participate in the in-person program if needed. I’m only willing to attend remote (Zoom) classes. Which of the following are you interested in completing?*Please note: You must complete the Essential Skills program before enrolling in the Entrepreneurship Skills Program. Essential Skills Program Entrepreneurship Skills Program (for starting your own business) If you were enrolled in the remote YW Strive session, would you like to participate in a YW Strive Zoom training before starting the program?* Yes No Maybe What do you feel makes you a good candidate for this program?*Please give a brief description of the reasons you feel make you good choice for acceptance into the program and how you would benefit from participating in this program. Suggested length 200-350 words. Did you have help filling out this application?* Yes (someone helped me) No (I filled out on my own) Terms and Conditions*I understand that this application is for admission only for the term indicated. I agree that I am bound by YWCA McLean County's regulations concerning application deadlines and admission requirements. I understand that applying for this program does not guarantee acceptance. I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application or residency statement will result in disciplinary action, denial of admission, and invalidation of credit or certificates earned. If admitted, I agree to abide by the policies of YW Strive and the rules and regulations of YWCA McLean County. Should any information change prior to my entry into YW Strive, I will notify YWCA McLean County. Please sign below if you agree to these terms and conditions. Reset signature Signature locked. Reset to sign again CAPTCHA
