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ENROLLMENT IN LEAD

Email *

First name *

Last name *

Phone number

Please select the LEAD online Info Session you’d like to sign up for: *

Let us know a bit about yourself

What is your country of birth or home country? *

How old are you? *

When did you first come to the United States? *

Where do you currently live? *

Zip code of residence *

How did you find out about LEAD? *

Why are you interested in joining LEAD? *

Out of the 5 following objectives, which is the most important to you? *

How would you qualify your level of English proficiency? *

How confident are you in your ability to speak English? *

Education, Employment, & Community

What is the highest level or degree of education you have completed? *

Where have you received your education? (check all that apply) *

In my home country
In the United States
In a country other than my home country or the United States

In what area of study have you received your highest degree? *

What is your professional situation or main occupation currently? *

Are you currently looking for an internship or job? *

What is your main industry or field of professional interest? *

Are you connected to any community or network in New York City? Please describe briefly any community or network you’re connected to, and why. *

Income

NWNY collects income information from its program registrants for grant writing and funding purposes. Please answer to the best of your knowledge. Your answer will be kept strictly confidential.

The term “household” means you and any immediate family member(s) you live with, e.g. spouse/partner, children, parents, siblings, grandparents etc.

How many people live in your household, including yourself? *

What is the annual income of your household? *

Anything else you’d like to share with us?

That’s it, just don’t forget to submit your answers below, and we’ll be in touch. Thank you!

ENROLLMENT IN LEAD

ENROLLMENT IN LEAD

Let us know a bit about yourself

Education, Employment, & Community

Income

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