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FORCE Application
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Directions: The following application begins your journey as a FORCE member. With successful completion of the form, survey, and interview, you will be admitted to the FORCE program and assigned a mentor. Address the questions and prompts below. Once you have finished, send an email to
nldamron@mnu.edu
thus notifying MNU you have submitted your application. At that point we will contact you to set up a time for your interview. Please contact 913.971.3446 with questions. Select "Yes" below stating you understand you must contact MNU after completion of the application.
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Yes
1. First Name
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Your answer
2. Last Name
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Your answer
3. Cell/Phone Number
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Your answer
4. Permanent Address
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Your answer
5. City
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Your answer
6. State
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Your answer
7. Zip code
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Your answer
8. If you are not living at your permanent address, please provide your current address.
Your answer
9. Racial classification (for data reporting information—will not be associated with your name and personal information)
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Black or African American
American Indian or Alaska Native — Print name of enrolled or principal tribe.
Asian Indian
Chinese
Filipino
Other Asian — for example, Hmong, Laotian, Thai, Pakistani, Cambodian, etc.
Japanese
Korean
Vietnamese
Native Hawaiian
Guamanian or Chamorro
Samoan
Other Pacific Islander — for example, Fijian, Tongan, etc.
White
Other:
10. Sex (for data reporting information and program participation confirmation)
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Male
Female
Other:
11. High school name
Your answer
12. High school address
Your answer
13. College/University name (if applicable)
Your answer
14. College/University address (if applicable)
Your answer
15. Academic classification: Are you in high school? If yes, mark yes and proceed to question 16. If no, proceed to question 17.
Yes
No
Clear selection
16. In what grade are you? (if applying over the summer, tell us what grade you will be in for the next academic year) After replying, proceed to question 19.
9, HS Freshman
10, HS Sophomore
11, HS Junior
12, HS Senior
Clear selection
17. Academic classification: Are you in college? If yes, mark yes and proceed to question 18.
Yes
No
Clear selection
18. In what class are you? (if applying over the summer, tell us what class you will be in for the next academic year)
College Freshman
College Sophomore
College Junior
College Senior
Clear selection
19. Academic standing: what is your cumulative GPA for the last semester you completed? (on a 4.0 scale)
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Your answer
20. Why do you want to become an educator?
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Your answer
21. How do you see FORCE helping you achieve your goal to become an educator?
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Your answer
22. To be successful at college and as an educator, what are your greatest needs?
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Your answer
23. What strengths will you bring to your future classroom?
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Your answer
24. In what grade level/subject area are you interested in teaching?
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Your answer
25. If you are not over 18 years of age, please provide a guardian/parent name and phone number, so we may confirm you have guardian/parental permission to participate in this program.
Your answer
26. Do you know any professional men of color who would be great mentors to FORCE members? If yes, please provide a name and contact information here.
Your answer
27. Do you know any men of color who would be great candidates for the FORCE program? If yes, please provide a name and contact information. You are welcome to list more than one in this space.
Your answer
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