New Hour EMERGE Application
Empowering Methods for Effective Reentry, Growth and Engagement
An advocacy and leadership training program for formerly incarcerated women.
Phone - (631) 273-3300
Website - www.newhourli.org
Email address *
Full Name *
Your answer
Address *
Your answer
Phone Number *
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Alternate Number
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Best time to reach you? *
Your answer
What is the highest level of education you completed? *
Have you taken any training programs, or been to college? (For example, computers, cosmetology, cooking, etc)
Your answer
Do you have any children? *
What is your main mode of transportation? *
Required
Describe yourself: (For example, are you outgoing, quiet, creative, organized, curious, a go-getter?) *
Your answer
Are you currently enrolled in other programs? If so, please list. *
Your answer
Have you ever wanted to change anything in your community? How would you go about changing it? *
Your answer
What are the most important issues in your life? *
Your answer
What are the most important issues in your community? *
Your answer
Have you ever been a leader? How? What was good about your experience? What was hard about it? *
Your answer
What are your best qualities? *
Your answer
What do you think are the most important qualities a leader needs? *
Your answer
What do you expect to get from New Hour Emerge? *
Your answer
How did you hear about New Hour Emerge? *
Your answer
When did you return home? *
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Are you currently on parole or probation? *
Emerge classes are held once a week for 4 hours for 15 weeks. Will you be able to attend all of the classes? *
Anything else you would like to add?
Your answer
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