Brooklyn Community Pride Center is connecting local queer young adults to open, inclusive and LGBTQ+ friendly internship opportunities. To help us get to know you a little better, please complete the following questions.

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* 1. First Name

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* 2. Last Name

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* 3. Date Of Birth

Pride Path serves LGBTQ+ youth 18-24

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* 4. Address

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* 5. Address 2

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* 6. City

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* 7. State/Province

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* 8. ZIP/Postal Code

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* 9. Email Address

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* 10. Phone Number

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* 11. Gender

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* 12. Proper Gender Pronouns
Example: He/Him/His, She/Her/Hers, They/Them/Theirs, Ze/Zim/Zers.

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* 13. Race

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* 14. How did you hear about the Pride Path internship program?

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* 15. Highest Grade Completed

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* 16. Highest Educational Certificate Achieved
Select all that apply.

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* 17. Gross Annual Income

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* 18. Career Interests
Select all that apply.

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* 19. Short Term Career Goals

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* 20. Long Term Career Goals

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* 21. What are some skills you would like to improve?

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* 22. Close your eyes. Imagine it’s 10 years from now and you’re in the middle of your work day. What kind of people are you around? What kind of space are you in? What are you doing? How do you feel? What is challenging but rewarding about the work you do?

Directions:
- Write a two paragraph response.
- Be creative.
- Free yourself from outside opinion and talk about what you really want your future to look like.

NOTE: You are the masters of your own design. We just want to help you get there.

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