Page 1

We are now accepting applications for the Spring 2022 program!

Career Essentials Program Application

Students in the Futures and Options Career Essentials Program participate in 13 supervised workshops that focus on communication, presentation and workplace etiquette skills. This guide provides basic information about the Career Essentials program, including how to apply, what is expected of our students, and what our students may expect from Futures and Options.

Admission Process

1. Please visit our website to complete our application online. A completed application must include:
Student information
Short answer responses
Attached Intern Statistical Questionnaire (for informational purposes, not to evaluate your candidacy)

2. Once we receive your application, you will be contacted by Futures and Options to schedule a group interview. On the day of the interview. Decisions about program acceptance will be made following the group interview stage.

Program Information

Workshops are held once a week for two hours during a 13-week span in both the fall and spring semesters. Students will be invited to participate in either the Monday, Tuesday, Wednesday, or Thursday groups from 4:30 to 6:30 PM. Participants in the program learn interviewing skills, presentation skills, workplace etiquette, time management, resume and cover letter writing, and have the opportunity to explore careers. Two virtual career exploration field trips are included to offer students exposure to different career options. Students also have the opportunity to network with and learn from fellow peers from different boroughs and schools.

Student Responsibilities

Students are required to virtually attend and be on time to all workshops and events that are part of the program. It is important to communicate in advance with the Futures and Options program staff if you have any schedule conflicts.

Contact Information

Shakina Kirton skirton@futuresandoptions.org

Futures and Options

120 Broadway, Suite 1019

New York, NY 10271

P. 212.601.0002

F. 212.601.0005

www.futuresandoptions.org

*Form Assembly will encrypt data entered on this form upon transmission.

By checking this box, I certify that I have read the program description and understand that I am applying to Career Essentials (not the Internship Program).

Page 2

Career Essentials Program Application

Student Information:

Last Name

First Name

What name or nickname do you prefer to be called?

Select your preferred gender pronouns

What is your gender identity?

Home Street

Apt. #

Home Borough

State

Zipcode

If you only have one phone number, please enter same number twice for cell and home.

Home Phone #

Cell Phone #

Please contact me at: (check all that apply):

HomeCell

Email Address

Date of Birth (mm/dd/yy):

In Case of Emergency, Notify:
(Name, Street Address, State, Zip Code)

Emergency Contact 1 Name

Emergency Contact 1 Email

Emergency Contact 1 Address

Emergency Contact 1 Phone

Relation 1

Relation 1 Other

Emergency Contact 2 Name

Emergency Contact 2 Email

Emergency Contact 2 Address

Emergency Contact 2 Phone

Relation 2

Relation 2 Other

High School Information

Current Grade Level in High School:

Expected Year of High School Graduation:

High School Name

Other High School Name

High School Street

High School City

High School State

High School Zip Code

High School Borough

High School Contact First Name (This contact can be an advisor, counselor, teacher, or other school staff person who referred you to the Futures and Options Internship Program)

High School Advisor Last Name

High School Phone

When are you available to participate?

Hold down control key and click to select multiple options.

Please answer the following in complete sentences and keep responses to 50-100 words:

1) What are your expectations for the program?

2) List three things you would like to learn from the Career Essentials Program. Please be specific.

3) Complete the following sentence: By the end of the program I would like to...

4) What other after-school activities are you involved in for this semester? Please list day and time.

Page 3

Applicant Statistical Questionnaire

Thank you for helping Futures and Options by filling out this short confidential questionnaire. Futures and Options is a not-for-profit internship program that is funded by foundations, corporations and individuals who are committed to helping you succeed. In order to receive funding vital to the continuation of this program, we are often required to provide statistical information about our participants. All information requested on this form is confidential. It will be used for statistical and research purposes only. The information you choose to provide will be helpful in our efforts to raise the money to carry on and expand the program.

1. Ethnicity (select all that apply)

Hold down control key and click to select multiple options.

Other Ethnicity

2.Country of Birth

Are you the first generation in your family to attend school in the United States?

3. How many members of your household (including yourself) are younger than 18 years of age?

4. How many adults live in the household?

5. What is your parents' marital status?

6. What is the approximate combined income of your parents/guardian?

7. Does your household receive SNAP benefits (food stamps) or have received SNAP within the past 12 months? (Don't include WIC or any food banks)

YesNoI don't know

8. Are you a NYCHA resident?

Name of NYCHA Development

9. What is the highest level of education completed by your parents/guardian?

Mother:

Father:

*Guardian

* A guardian is someone who is legally responsible for the care and management of a minor.

10. Is English your first language?

YesNo

11. What is your primary language spoken at home?

12. What is your secondary language spoken at home?

Optional

13. What other language is spoken at home?

Optional

Contact Information