Join the program

Sign up for the Mentorship & Leadership Development Program.

Tell us a little about yourself and which parts of the program interest you. Our team will follow up with next steps.

Program interest form

Let's get started.

Stipends of up to $500 and OMNY transit cards for New York-based participants may be available to eligible participants, subject to available funding.

* Required field

Full name

Phone (optional)

Age

City

State

ZIP code

Who are you signing up?

Which part(s) of the program interest you? *

MentorshipLeadership DevelopmentSTEM & Digital LiteracyThe whole program

Current status

What do you hope to gain?

Device & internet at home?

Interested in a stipend?

OMNY transit support (NY residents)?

Preferred times to participate

How did you hear about us?

Optional demographics

These questions are optional and help us understand who we serve.

Gender (optional)

Race / ethnicity (optional)

Household income range (optional)

Primary language (optional)

First-generation student? (optional)

We use this information to run our programs, understand community needs, and measure our impact. We do not sell your information.