Nephew Application - FatherType

Welcome to FatherType

“A Place Where Dreams Are Mandatory”

* Must be 18-24
* Must Have a Dream
* Must be committed to the dream

Nephew's Name

First

Last

Date of Birth

Age

Address

Address Line 1

Address Line 2

City

State

Zip Code

Have you ever been convicted of a felony?

Yes
No

Potential Career Interest

	Not Interested	Somewhat Interested	Interested
Agriculture and Agribusiness	Not InterestedAgriculture and Agribusiness Not Interested	Somewhat InterestedAgriculture and Agribusiness Somewhat Interested	InterestedAgriculture and Agribusiness Interested
Automotive and Mechanics	Not InterestedAutomotive and Mechanics Not Interested	Somewhat InterestedAutomotive and Mechanics Somewhat Interested	InterestedAutomotive and Mechanics Interested
Banking and Finance	Not InterestedBanking and Finance Not Interested	Somewhat InterestedBanking and Finance Somewhat Interested	InterestedBanking and Finance Interested
Construction and Real Estate	Not InterestedConstruction and Real Estate Not Interested	Somewhat InterestedConstruction and Real Estate Somewhat Interested	InterestedConstruction and Real Estate Interested
Education and Academia	Not InterestedEducation and Academia Not Interested	Somewhat InterestedEducation and Academia Somewhat Interested	InterestedEducation and Academia Interested
Energy and Utilities	Not InterestedEnergy and Utilities Not Interested	Somewhat InterestedEnergy and Utilities Somewhat Interested	InterestedEnergy and Utilities Interested
Entertainment and Media	Not InterestedEntertainment and Media Not Interested	Somewhat InterestedEntertainment and Media Somewhat Interested	InterestedEntertainment and Media Interested
Healthcare and Medicine	Not InterestedHealthcare and Medicine Not Interested	Somewhat InterestedHealthcare and Medicine Somewhat Interested	InterestedHealthcare and Medicine Interested
Hospitality and Tourism	Not InterestedHospitality and Tourism Not Interested	Somewhat InterestedHospitality and Tourism Somewhat Interested	InterestedHospitality and Tourism Interested
Information Technology (IT) and Computer Science	Not InterestedInformation Technology (IT) and Computer Science Not Interested	Somewhat InterestedInformation Technology (IT) and Computer Science Somewhat Interested	InterestedInformation Technology (IT) and Computer Science Interested
Manufacturing and Production	Not InterestedManufacturing and Production Not Interested	Somewhat InterestedManufacturing and Production Somewhat Interested	InterestedManufacturing and Production Interested
Marketing, Advertising, and Public Relations	Not InterestedMarketing, Advertising, and Public Relations Not Interested	Somewhat InterestedMarketing, Advertising, and Public Relations Somewhat Interested	InterestedMarketing, Advertising, and Public Relations Interested
Nonprofit and Social Services	Not InterestedNonprofit and Social Services Not Interested	Somewhat InterestedNonprofit and Social Services Somewhat Interested	InterestedNonprofit and Social Services Interested
Retail and Consumer Goods	Not InterestedRetail and Consumer Goods Not Interested	Somewhat InterestedRetail and Consumer Goods Somewhat Interested	InterestedRetail and Consumer Goods Interested
Telecommunications	Not InterestedTelecommunications Not Interested	Somewhat InterestedTelecommunications Somewhat Interested	InterestedTelecommunications Interested
Transportation and Logistics	Not InterestedTransportation and Logistics Not Interested	Somewhat InterestedTransportation and Logistics Somewhat Interested	InterestedTransportation and Logistics Interested
Aerospace and Aviation	Not InterestedAerospace and Aviation Not Interested	Somewhat InterestedAerospace and Aviation Somewhat Interested	InterestedAerospace and Aviation Interested
Environmental and Sustainability	Not InterestedEnvironmental and Sustainability Not Interested	Somewhat InterestedEnvironmental and Sustainability Somewhat Interested	InterestedEnvironmental and Sustainability Interested
Government and Public Safety	Not InterestedGovernment and Public Safety Not Interested	Somewhat InterestedGovernment and Public Safety Somewhat Interested	InterestedGovernment and Public Safety Interested
Skilled Trade such as HVAC, Plumbing, Electrician, Carpenter etc.	Not InterestedSkilled Trade such as HVAC, Plumbing, Electrician, Carpenter etc. Not Interested	Somewhat InterestedSkilled Trade such as HVAC, Plumbing, Electrician, Carpenter etc. Somewhat Interested	InterestedSkilled Trade such as HVAC, Plumbing, Electrician, Carpenter etc. Interested

Any other interest that wasn't mentioned?

What type of knowledge you have in this space?

What is Your Learning Style:

a) Understanding better with visual aids like charts or diagrams
b) Learning best through listening and engaging in discussions
c) Preferring reading and writing to grasp information
d) Learning best through hands-on activities and practical experiences.
e) other

Since you chose other, what style do you prefer?

What Are 3 Aspirations (Goals) That You Have:

What Is Your Dream :

Transportation Requirements

Drop-Off, Pick-Up

Parent/Guardian Information

you do What

Name

First

Last

Email

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Consent and Agreement

By submitting this questionnaire, you confirm that the information provided is accurate
and that you are interested in participating in the Fathertype Uncleship Program. You agree to attend all workshops and events during the course of our 12 week program. You
understand that this program is designed to provide guidance, support, and mentorship
based on your dreams and aspirations and will require 100 percent participation in order for success.

Signature

Clear Signature