Brooklyn Community Pride Center is connecting local queer young adults to open, inclusive and LGBTQ+ friendly businesses. We want to create access to opportunities that will propel you into the careers you desire.

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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. Highest Grade Completed

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

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* 16. Gross Annual Income

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* 17. Career Interest
Select all that apply.

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* 18. Short Term Career Goals

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* 19. Long Term Career Goals

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

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* 21. To what degree are you willing to push yourself out of your comfort zone?

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* 22. To what degree are you willing to participate in up to six weeks of job training?

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* 23. To what degree are you willing to remain open to learn tools of self-care to navigate the workplace?

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* 24. To what degree are you willing to respect other people's perspectives even when they disagree with yours?

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* 25. To what degree are you willing to commit to using words to communicate your thoughts and feelings when you don't understand something ?

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* 26. To what degree are you willing to ask for help if you need access to social services such as healthcare, housing, or food?

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* 27. To what degree are you willing to commit to arriving on time for the training and internship?

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* 28. To what degree are you willing to participate in additional social programming?

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* 29. To what degree are you willing to make the most out of every opportunity that resonates with your career path?

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* 30. Close your eyes. Imagine it’s 10 years from now and you’re in the middle of your workday. 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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