Ladders for Leaders is a component of the Summer Youth Employment Program (SYEP)

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Ladders for Leaders is a component of the Summer Youth Employment Program (SYEP) Application Overview and Guidelines What is NYC Ladders for Leaders? Ladders for Leaders is a nationally recognized program that offers high school and college students the opportunity to participate in paid professional summer internships with leading corporations, non-profit organizations and government agencies in New York City. Who can apply? Youth between the ages of 16-22 who are enrolled in high school or college A minimum Grade Point Average (GPA) of 3.00 Resident of one of the five boroughs of New York City Anyone with prior work experience either paid or volunteer Legally allowed to work in New York City What is the application process? There are three phases to the application process: 1. Application 2. Pre-employment workshops and mock interviews 3. Interviews with potential employers Participants selected into the program must complete each of the three phases. Failure to complete or attend mandatory program events will result in dismissal from the program. How do I apply? Applicants must complete all sections of the application form. This includes: Responding to the mandatory essay question; Providing a copy of academic transcript; Providing your resume, which should include any of your previous and current jobs, internships, leadership roles, volunteer commitments, extracurricular activities, and club involvement; Listing a valid email address that you check frequently. If you do not have an email address, you can create a free email account at various web hosts including but not limited to www.gmail.com; www.hotmail.com; www.aol.com; www.yahoo.com; etc. When is the deadline to submit my application? Applicants must submit copies of transcripts, proof of college enrollment (if applicable), and their completed applications NO LATER THAN 11:59 p.m. (EST) on April 4 th, 2016 to one of six (6) participating Community Based Organizations. Central Queens YM-YWHA QUEENS & MANHATTAN Chinese-American Planning Council MANHATTAN FEDCAP Rehabilitation Services MANHATTAN Jewish Community Council of Greater Coney Island BROOKLYN PENCIL, Inc. MANHATTAN United Activities Unlimited, Inc. STATEN ISLAND What happens after I submit my application? All applications will be reviewed for eligibility. Those accepted into the program will be contacted by email to attend the preemployment program. YOU MUST attend all pre-employment events in order to be referred to a partnering company for an interview for a possible internship. Please keep in mind that submission of an application does not guarantee acceptance into the NYC Ladders for Leaders program or placement in a summer internship position. For more information about NYC Ladders for Leaders, please visit us at www.nyc.gov/dycd. If you have questions about completing the application, please contact DYCD at NYCLaddersForLeaders@dycd.nyc.gov.

One application will be accepted for each applicant. SUBMISSION OF AN APPLICATION DOES NOT GUARANTEE ELIGIBILITY OR ENROLLMENT INTO THE PROGRAM. The following application items: Spoken Language, Disability Status is voluntary and will be treated with confidentiality. They cannot be used to affect your status in receiving employment, benefits and/or services. Information provided may be used by the City of New York to improve City services or to access additional funding. Failure to answer any question may result in an ineligible application. 1. Social Security Number (Please be accurate) - - The status of your application can be found at www.nyc.gov/dycd 2. Last Name 3. First Name 4. MI 8. 5. Birth (MM/DD/YYYY) 6. Gender (Check one) 7. Citizenship Status (Check one) / / Male Female U.S. Citizen Permanent Resident Alien Selective Service Registration # & - Males 18 years of age must be registered with the Selective Service System to participate in the program (if you have not already registered; visit www.sss.gov.) 9. Alien Number : # - - / / USCIS Form #: Other 10. Street Address (Number And Street) 11. Apt. 12. Zip Code 13. Do you live in a NYCHA Housing Development? No If No; Go to question 14. Yes If Yes, Name the Development: 14. Borough (Check One) 15. Ethnicity (Check One) 16. Other than English, what language(s) are you most comfortable speaking? Bronx Queens American Indian Hispanic/Latino Spanish Korean Brooklyn Staten Island Asian (Non-Hispanic) Pacific Islander Chinese Arabic Manhattan Black (Non-Hispanic) White (Non-Hispanic) Russian Haitian Creole Other Other 17. Applicant s Home Phone # 18. Applicant s Cell Phone # 19. Applicant s Email - - - - 20. Name of Parent or Legal Guardian (Last Name) First Name 21. Emergency Contact Phone # - - Educational Status 22. Current educational status J.H.S grade 7th 8th H.S. grade 9th 10th 11th 12th College Freshman Junior Sophomore Senior If not in school, indicate last grade completed. 23. Educational-Student Type Full-Time Student Vocational Part-Time Student Post-Secondary Not in School 24. What school did/do you attend? Income & Other Information 25. Total family income (gross) for the last SIX months $ 26. Number of family members currently living in applicant s household 27. Is applicant or applicant s family currently receiving public assistance? Yes No; If No ; Go to 29 28. Type of Public Assistance (Check all that apply) Family Assistance (formerly known as AFDC) Safety Net/Home Relief Supplemental Nutrition Assistance Program (SNAP) S.S.I. Other : 29. Is the applicant any of the following (Check all that apply) Disabled Offender/Justice Involved Served In the Military Foster Care ACS Preventative Services Does Not Apply Homeless/Runaway Parent Educational Detail- ONLY Ladders Specific 30. School Major 31. Grade Point Average* 32. Where is your school located? (Check One) *If you are a college freshman and have not received your first semester grades, please provide your final HS GPA. In NYC 33. Enter the start and end dates of your summer break Outside of NYC 5 Boroughs; Town, State From To Career Goals 34. What is the applicant s long-term career goal? List three (3) options: 1st 2nd 3rd 35. Do you have any previous work experience? (Paid or Voluntary) Yes No 36. Would you be interested in opening a Savings Account? Yes No Addt l Info 37. Is the applicant or any member of the household (0-64 years of age) covered by Medicaid, Child Health Plus, Family Health Yes No Plus or private medical insurance? 38. If NO, do you want to be contacted with information about public health insurance programs? Yes No CERTIFICATION OF ACCURACY: I, the undersigned, certify that all information on this form is true and correct. I understand that my statements are subject to verification. I further understand that any false statements may subject me to criminal prosecution under both New York State Penal Laws, section 175.35 and Federal Law, 18 U.S.C.A. 1001, and to civil action for return of all monies received. I agree and accept that I will abide by all applicable rules and regulations of this program. Applicant Signature Parent/Guardian Signature LFL Provider Intake Officer Signature

Part 2 - ESSAY QUESTIONS* YOU MUST RESPOND TO QUESTIONS #39, #40 AND #41. Please attach your answers on a separate sheet with your name and social security number on top. 39. In 250 words or more, please describe why would you like to join NYC Ladders for Leaders? * -What do you hope to get out of the program? -What would you contribute to the program? Please attach your response. 40. RESUME (Attach a hard copy) Each field represents a different section of your resume. Please enter the information accordingly.* CONTACT INFORMATION (Name, Address, Phone/Cell number, Email) EDUCATION EMPLOYMENT HISTORY / WORK EXPERIENCE VOLUNTEER / LEADER EXPERIENCE HONORS & AWARDS EXTRACURRICULAR ACTIVITIES SKILLS 41. TRANSCRIPT (Attach a hard copy)* APPLICATION MUST BE SUBMITTED BY 11:59PM APRIL 4 th, 2016. For more information about NYC Ladders for Leaders, please visit us at www.nyc.gov/dycd or call DYCD at (800) 246-4646.

If you are selected to accept the job, you must show a picture I.D, Social Security Card and your current report card. In order to be placed in a summer internship, you will need to bring certain documents to your LFL provider. You must submit COPIES of one (1) item from categories 1-9 listed below as it applies to you. These items are needed to officially complete your enrollment so that you are eligible for LFL internship. Note that some documents may satisfy more than one category (e.g. U.S. Birth Certificate or current U.S. Passport for categories 3 and 6). 1. Proof of Identity Official Picture ID (school, city, state, government issued) New: IDNYC will be accepted 2. Proof of Employment Authorization Report Card (dated within the last 6 mos )OR Official School Transcript OR NYS Driver/Non-Driver s License OR Voter s Registration Card OR U.S. Military Card /Draft Record OR 3. Proof of Age Birth Certificate OR Benefit Card OR NYS Driver/Non-Driver s License OR Alien Registration Card OR Valid U.S. Passport 4. Proof of Social Security Number Social Security Card (ONLY) 5. Working Papers (Must be age applicable) If you are under the age of 18 at the time of application, you must submit your most current working papers. Working papers can be acquired through your school. If you are not attending school, call 311 or contact your local District Office. 16 and 17 years of age: Green Card 8. Proof of Educational Status Official High School Transcript OR Official College Transcript OR Unofficial College Transcript w/ copy of College ID 9. LFL Application A signed LFL application is required for all youth. Youth under the age of 18 are required to have the signature of a parent or guardian. Please provide ONLY if applicable 10. Selective Service Registration Card OR Selective Service Online Receipt Required for males 18 years of age or older Please note: all references to the word current mean documents dated within the last six (6) months or where applicable, documents which are still valid and have not expired. The status of your application can be found at www.nyc.gov/dycd. Reminder: ONLY COPIES OF THESE DOCUMENTS WILL BE ACCEPTED 6. Proof of Citizenship/Alien Status Valid U.S. Passport OR U.S. Birth Certificate OR Alien Registration Card OR I-94, I-551, I-797 OR Certificate of Naturalization OR Employment Registration Card 7. Proof of Address (d within the last 6 months) Home Utility Bill OR Current Lease OR Current Cable Bill (Must have Phone Service Listed) Official Mail from a Federal, State or City Agency

LFL 2016 LIST OF COMMUNITY-BASED PROVIDERS Brooklyn Jewish Community Council of Greater Coney Island 1797 Coney Island Avenue, Brooklyn NY 11230 718-449-5000 Q train to Avenue M or F train Avenue N Manhattan Chinese American Planning Council 165 Eldridge St. New York, NY 10002 212-792-4579 Take the F train to Delancey Street or the M to Essex Street (same area). FEDCAP Rehabilitation Services 210 E. 43rd Street, 3rd Fl. Rm 328, New York, NY 10017 212-727-4338 Take 4, 5, 7 trains to Grand Central - 42 St PENCIL, Inc. 30 West 26th Street, 5th Floor, New York, NY 10010 646-638-0565 1, 2, 6, N, R, F, M, A, C, E, PATH and MetroNorth Central Queens Manhattan Training Site 130 E 59th St, New York, NY 10022 718-268-5011 4 or 5 train Queens Central Queens-YM &YWHA 63-25 Main Street 153C; Forest Hills, NY 11367 718-268-5011 Take E, F, R trains to Forest Hills - 71 Av Staten Island United Activities Unlimited PS 18 @221 Broadway, Staten Island, NY 10310 718-448-4834 S53 bus to Broadway & Castleton Ave Applicants can apply to any of the above providers regardless of their place of residence.