Navigator Application

Please note: We highly encourage you to review the application before starting it.

Applicant Questionnaire

Please complete the following form. Some of the questions we are about to ask you may be sensitive. We are asking you these questions to learn more about your background so that we can best support you in reaching your career and academic goals.

Program Application: Navigator Certificate

Date

Age (must be 18 or older)

First Name

Last Name

Address Line 1

Address Line 2

City

State

Zip code

Cell phone (10 digit)

Alternate phone number (10 digit)

Date of birth

In Case of Emergency

First Name

Last Name

Relationship

Please specify:

Phone (10 digit)

Computer Skills

All classes, whether remote or in person, requite students utilize computers. We want to gauge if our students have access to a computer and their level of comfort using them.

Do you have access to:

a computer (with a microphone and camera)

YesNo

stable Internet

YesNo

Electronic tablet/iPad/Samsung

YesNo

Describe your level of comfort with the following:

	Yes	Yes, but with difficulty	No
Computer (turn On/Off, log in, Navigate)
Email (compose, sending, manage)
Internet (use a search engine, navigate, job search)
Files (save, open, and find files or documents)
Microsoft Word (create documents, save, open, edit)
Microsoft Excel (create a spreadsheet, save, open, edit)
Academic Platforms (CUNYFirst and Blackboard)
ZOOM or other video platforms
Watch videos on YouTube (phone or computer)

Support(s)

We know that taking a training program can be a big commitment. We are interested in learning more about your support network.

Has anyone in your family or immediate social circle ever taken professional development trainings or college classes?

If Yes, who?

Have you shared your educational or professional goals with anyone in your immediate or neighborhood community?

What type(s) of community support(s)/ties do you have? (check all that apply)

Please specify:

Food Accommodations

It is important to The Institute that each student is provided with meals before and/or during the classes he/she will be attending throughout the semester. Please answer the below questions as they relate to any food accommodations you may need?

Do you have any food allergies?

Fish/ShellfishDairy products (including cheese, milk, etc.)Nuts (including peanut butter)Other

Please specify:

Do you have food preferences related to religious observances?

YesNo

Level of Commitment

The Navigator Certificate in Human Services and Community Justice course is a sixteen-week commitment that each student is expected to comply with. The following questions are related to the level of commitment this course will expect from each student.

Are you able to commit to attending every Tuesday and Thursday class that begins from 6pm - 9pm?

YesNoNot Sure

Are you able to commit to attending every class that begins from 9am-5pm on scheduled Friday’s and Saturday’s? (please note there are not many of these classes scheduled)

If you are offered a seat in the course will you have to receive approval from your supervisor for special accommodations to attend the above-mentioned classes before accepting the offer?

YesNoNot Sure

Essay Questions

An integral part of the Navigator Certificate in Human Services and Community Justice course is writing. Please choose ONE of the THREE below questions to answer in essay form. Each essay should be 300-500 words. Complete each essay in a Word document in 12pt font, double spaced, and in New Times Roman font style. Upon completion each essay must be uploaded as an attachment to this application.

(PLEASE NOTE YOU MUST COMPLETE ONE ESSAY AND UPLOAD THOSE ESSAYS AS ATTACHMENTS OR THE APPLICATION WILL BE CONSIDERED INCOMPLETE AND WILL NOT BE ACCEPTED)

Essay 1
Recount a time you helped an individual or community in need.

In your essay, please include the following:
(a) Describe your approach to helping the individual(s)
(b) What contributed to you being successful in your efforts
(c) How this experience contributed to a new understanding of yourself or others.

Essay 2
What motivates you to enroll in the Navigator Certificate in the Human Services and Community Justice course?

In your essay, please include the following:

(a) What do you hope to gain at the end of the course?
(b) What are your career goals in the Human Services Field?
(c) How do you intend on using the skills you acquire from the Navigator Certificate in Human
Services and Community Justice course in your current position or your future position in the
field of Human Services?

Essay 3
Describe a time during your lived experience in the criminal justice system when you helped someone?

In your essay, please include the following:

(a) What challenges arose and how did you overcome those challenges with the individual?
(b) What lesson(s) did you learn from that experience?
(c) How could the knowledge you gained from this experience help you in the Navigator
Certificate in Human Services and Community Justice course and in the Human Services
field?

Which Essay(s) did you complete?

Essay 1Essay 2Essay 3

Upload Essay 1

Upload Essay 2

Upload Essay 3

Resume and Reference Letters

Upload Resume

Upload Reference Letter (1)

Upload Reference Letter (2)

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American Indian or Alaska Native	Asian
Black or African American	Hispanic, Latinx, or Spanish
Middle Eastern or North African	Native Hawaiian or Other Pacific Islander
Other	White

GED/High School Diploma	Some College Credits
Associate's Degree	More than Associate's but Less than a Bachelor's Degree
Bachelor's Degree (obtained while incarcerated)

Federal prison	New York State prison
New York City jail	No, I have never been incarcerated
Other

7:00pm	8:00pm	9:00pm	10:00pm
Other

Cover Letter Assistance	Interview Prep
Job Search Assistance	Resume Support
Not Applicable

Fortune Society	Group home	Halfway house
Private residence	Residential program	Shelter
Three-quarter house	Other

Alone	With parent(s)/family member(s)
With roommate(s)	With spouse/domestic partner
Other