Public Page ENROLLMENT IN LEAD Email * First name * Last name * Phone number Please select the LEAD online Info Session you’d like to sign up for: * Thursday, July 1, 10am-12pm Tuesday, August 17, 2pm-4pm I am not available for any of those dates, but please keep me posted about future LEAD Info Sessions & other NWNY programs. 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? * Bronx Brooklyn Manhattan Queens Staten Island New York State (but not in NYC) New Jersey Connecticut Other Zip code of residence * How did you find out about LEAD? * Friend School/organization Facebook/social media Website Google Search Why are you interested in joining LEAD? * Out of the 5 following objectives, which is the most important to you? * Increase my self-esteem and confidence Improve my ability to communicate in English Prepare myself to get an internship or job in my field of interest Prepare myself to enroll in school or a vocational training Meet and learn with people from other cultures How would you qualify your level of English proficiency? * Beginner: I don’t speak any English Elementary: I can say and understand a few things in English Intermediate: I can speak and understand reasonably well English Advanced: I speak and understand very well English Fluent: I speak and understand English completely fluently How confident are you in your ability to speak English? * Not confident at all Not very confident Neutral Confident Very confident Education, Employment, & Community What is the highest level or degree of education you have completed? * High school diploma or GED Associate’s degree Bachelor’s degree Master’s degree Postgraduate degree Other 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? * Arts (for example performing arts, visual arts) Business Engineering & technology Humanities (for example history, languages, philosophy) Law Medicine & health Natural & formal sciences (for example biology, physics, computer science, mathematics) Social sciences (for example economics, political science, sociology, psychology, sociology) Other What is your professional situation or main occupation currently? * Unemployed Employed outside of field of interest, part-time or in temporary position Employed outside of field of interest, full time Employed in field of interest, part-time or temporary position Employed in field of interest, full time Self-employed/working for my own business Intern/volunteer Student Taking care of my child(ren) Other Are you currently looking for an internship or job? * Option 1 Option 2 Option 3 What is your main industry or field of professional interest? * Accounting Arts & entertainment Banking & finance Business administration & economics Communication & marketing Education Engineering & manufacturing Entrepreneurship Food services Health care Hospitality International affairs & political science Law Nonprofits & government Retail & sales Science & technology Tourism Unsure Other 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? * Less than $20,000 $20,000 to $34,999 $35,000 to $49,999 $50,000 to $74,999 $75,000 to $99,999 Over $100,000 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! Spread the word: Share on X (Opens in new window) X Share on Facebook (Opens in new window) Facebook Share on LinkedIn (Opens in new window) LinkedIn Email a link to a friend (Opens in new window) Email