Latinas on the Rise

deadline for Spring 2007 is March 5, 2007

Instructions:

Please complete this application and send your resume separately to latinas@latinasontherise.org. We are interested in knowing as much about you as you are willing to share. Please answer questions based on your life experiences and ambitions, not based on what you think we may want to hear. We invite people to participate based on whether or not they will fit well with the program.

First Name:
Last Name:
Address:
Address 2:
City:
State:
Zip:
Email:
Phone:		(555)555-5555
Educational Institution:
Program of Study:
Hours Completed:
Enrollment Status:	Full Time Part Time
Date of Birth:
Age:
Place of Birth:
Where did you grow up?
Languages spoken other than English:
(These are more lengthy questions) 1. What motivated you to choose your current course of study?
2. What obligations do you currently have in terms of work and school? What time constraints might you have in committing yourself to the Latinas on the Rise Program?
3. As of today, what are your future educational and professional goals?
4. What has been the greatest challenge you have faced thus far in your life?
5. If you were a reporter who had the ability to interview any person, alive or dead, who would you choose to interview? What would be the rationale for your decision?
6. What type of information and guidance do you need to meet your current professional and/or educational goals?
7. If you had a daughter, what would you wish for her?