Application Form
Please fill out and submit this application to be considered for the New York Immigration Coalition's (NYIC) New American Youth Leadership Corps (NAYLC) program.



PROGRAM DESCRIPTION
The NAYLC program will support high school students - who are immigrants or children/grandchildren of immigrants - in their pathways to success, and in developing skills and knowledge in support of their leadership development, community engagement and advocacy, civic participation, financial management and pursuit of higher education.

NAYLC participants will engage in a series of interactive workshops in New York City on Wednesdays @ 4:30pm-7pm in 2016 on:
- February 10 & 24;
- March 9 & 23;
- April 6, 20 & 27;

and will be given the opportunity to complete 12 or more hours of volunteer service between February 10 and April 27, 2016, where they will apply what they learned in the workshops to activities in support of immigrant communities and nonprofit organizations that serve them.

The NAYLC program is supported with generous funding from Citi Community Development.



ELIGIBILITY
In order to be eligible for the NAYLC program, applicants must be:
- an immigrant or a child/grandchild of an immigrant;
- currently enrolled in high school;
- interested in attending college;
- available to participate in all of the scheduled NAYLC workshops;
- available to commit to 12 or more hours of volunteer service between February 10 and April 27, 2016.

Applicants from households with less than $57,033 in income will be prioritized for spots within the NAYLC program.

Applications will be reviewed on a rolling basis.





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Contact Information
First name *
Last name *
Email address *
Primary phone *
Secondary phone *
Full name of a parent or guardian *
Primary phone number of parent or guardian listed above *
Email address of parent or guardian listed above *
Education
The following section asks questions to learn about your high school education and higher education aspirations. NAYLC applicants must be enrolled in high school and aspire to go to college in order to be considered for the program.
Name of the high school that you are currently enrolled in *
Expected date of high school graduation *
Month/Year
Do you plan to attend college shortly after you finish high school or at a later date in the future? *
Finance
The following section asks questions pertaining to your household income, in addition to your use or knowledge of financial tools/resources. Some of the compiled data from this section - minus identifying information - may be used in reports to funders. The NYIC will not share individual participant financial information with any outside parties. Applicants from households with less than $57,003 in income will be prioritized for spots within the NAYLC program.
What is your household's annual income? *
Please check any of the following items that are true. *
Required
Demographic Information
In support of its effort to create a diverse and inclusive New American Youth Leadership Corps cohort, the NYIC requests that applicants share some of their demographic information. Some of the compiled data from this section - minus identifying information - may be used in reports to funders. The NYIC will not share individual participant demographic information with any outside parties. Based on their comfort level, individuals filling out this form may chose to skip the optional questions in this section with no penalty. In order to be eligible for the NAYLC program, an applicant must be an immigrant or a child/grandchild of an immigrant.
Date of Birth *
Please select the description that best fits you. *
How do you identify in terms of race/ethnicity? (optional)
How do you identify in terms of gender? (optional)
Are there any other social identities that you wish to share? (optional)
E.g., faith/religion, sexual orientation
Narratives
The following questions aim to help the NYIC learn about your interest in the NAYLC program; thoughts/knowledge on leadership, immigration issues, and community empowerment; and current/recent leadership and volunteer activities.
Why are you interested in participating in the NAYLC program? *
Please limit your answer to 200 words or less.
What do you think are pressing issues facing immigrant communities in New York?
Please limit your answer to 200 words or less.
What does the phrase "community empowerment" mean to you? *
Please limit your answer to 200 words or less.
What kinds of leadership and/or volunteer activities have you participated in or outside of school during the past couple of years?
Please limit your answer to 200 words or less.
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