Service2Service Application - Mentors
First Name:
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Last Name:
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Work E-mail Address:
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Phone Number:
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Preferred Contact Method:
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Email
Phone
Have you served or do you currently serve in the military (not required to serve as a mentor)?
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Yes
No
Please provide details of your military service [branch, rank, service location(s), and years of service]:
Are you an AmeriCorps alumni (not required to serve as a mentor)?
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Yes
No
Please provide details of your AmeriCorps service [program name, position title, service location, and year(s) of service]:
Employment & Education
Current Agency/Office:
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Actuary, NYC Office of the (NYCOA)
Administrative Justice Coordinator, NYC Office of (AJC)
Administrative Tax Appeals, Office of
Administrative Trials and Hearings, Office of (OATH)
Aging, Department for the (DFTA)
Appointments, Mayor's Office of (MOA)
Brooklyn Public Library (BPL)
Buildings, Department of (DOB)
Business Integrity Commission (BIC)
Campaign Finance Board (CFB)
Center for Innovation through Data Intelligence (CIDI)
Charter Revision Commission
Chief Medical Examiner, NYC Office of (OCME)
Children's Services, Administration for (ACS)
City Clerk, Office of the (CLERK)
City Council, New York
City Planning, Department of (DCP)
City University of New York (CUNY)
Citywide Administrative Services, Department of (DCAS)
Citywide Event Coordination and Management, Office of (CECM)
Civic Engagement Commission (CEC)
Civil Service Commission (CSC)
Civilian Complaint Review Board (CCRB)
Climate Policy & Programs
Commission on Gender Equity (CGE)
Commission to Combat Police Corruption (CCPC)
Community Affairs Unit (CAU)
Community Boards (CB)
Comptroller (COMP)
Conflicts of Interest Board (COIB)
Consumer Affairs, Department of (DCA)
Consumer and Worker Protection, Department of (DCWP)
Contract Services, Mayor's Office of (MOCS)
Correction, Board of (BOC)
Correction, Department of (DOC)
Criminal Justice, Mayor's Office of
Cultural Affairs, Department of (DCLA)
Data Analytics, Mayor's Office of (MODA)
Design and Construction, Department of (DDC)
District Attorney - Bronx County
District Attorney - Kings County (Brooklyn)
District Attorney - New York County (Manhattan)
District Attorney - Queens County
District Attorney - Richmond County (Staten Island)
Education, Department of (DOE)
Elections, Board of (BOE)
Emergency Management, NYC
Environmental Coordination, Mayor’s Office of (MOEC)
Environmental Protection, Department of (DEP)
Equal Employment Practices Commission (EEPC)
Finance, Department of (DOF)
Fire Department, New York City (FDNY)
Fiscal Year 2005 Securitization Corporation
Food Policy Director, Office of the
GreeNYC (GNYC)
Health and Mental Hygiene, Department of (DOHMH)
Homeless Services, Department of (DHS)
Housing Authority, New York City (NYCHA)
Housing Preservation and Development, Department of (HPD)
Housing Recovery Operations (HRO)
Hudson Yards Infrastructure Corporation
Human Resources Administration (HRA)
Human Rights, City Commission on (CCHR)
Immigrant Affairs, Mayor's Office of (MOIA)
Independent Budget Office, NYC (IBO)
Information Privacy, Mayor's Office of (MOIP)
Information Technology and Telecommunications, Department of (DOITT)
Inspector General NYPD, Office of the
Intergovernmental Affairs, Mayor's Office of (MOIGA)
Investigation, Department of (DOI)
Judiciary, Mayor's Advisory Committee on the (MACJ)
Labor Relations, NYC Office of (OLR)
Landmarks Preservation Commission (LPC)
Law Department (LAW)
Library, Brooklyn Public (BPL)
Library, New York Public (NYPL)
Library, Queens Public (QL)
Loft Board (LOFT)
Management and Budget, Office of (OMB)
Mayor's Committee on City Marshals (MCCM)
Mayor's Fund to Advance NYC (Mayor's Fund)
Mayor's Office (OM)
Mayor's Office for Economic Opportunity
Mayor's Office for International Affairs (IA)
Mayor's Office for People with Disabilities (MOPD)
Mayor's Office of Environmental Remediation (OER)
Mayor's Office of Special Projects & Community Events (MOSPCE)
Mayor's Office of the Chief Technology Officer
Mayor’s Office of Minority and Women-Owned Business Enterprises (OMWBE)
Mayor’s Office of Strategic Partnerships (OSP)
Mayor’s Office to End Domestic and Gender-Based Violence (ENDGBV)
Media and Entertainment, Mayor's Office of (MOME)
Media, NYC
NYC & Company (NYCGO)
NYC Children's Cabinet
NYC Cyber Command
NYC Economic Development Corporation (NYCEDC)
NYC Employees' Retirement System (NYCERS)
NYC Health + Hospitals
NYC Service (SERVICE)
NYC Young Men’s Initiative
New York City Transitional Finance Authority (TFA)
New York Public Library (NYPL)
Office of Recovery & Resiliency
Office of ThriveNYC
Office of the Census for NYC
Operations, Mayor's Office of (OPS)
Parks and Recreation, Department of (DPR)
Payroll Administration, Office of (OPA)
Police Department (NYPD)
Police Pension Fund (PPF)
Probation, Department of (DOP)
Procurement Policy Board (PPB)
Property Tax Reform, Advisory Commission on
Public Administrator - Bronx County (BCPA)
Public Administrator - Kings County (KCPA)
Public Administrator - New York County (NYCountyPA)
Public Administrator - Queens County (QPA)
Public Administrator - Richmond County (RCPA)
Public Advocate (PUB ADV)
Public Design Commission
Queens Public Library (QPL)
Records and Information Services, Department of (DORIS)
Rent Guidelines Board (RGB)
Sales Tax Asset Receivable Corporation (STAR)
Sanitation, Department of (DSNY)
School Construction Authority (SCA)
Small Business Services (SBS)
Social Services, Department of (DSS)
Special Commissioner of Investigation for the New York City School District
Special Enforcement, Mayor’s Office of (OSE)
Special Narcotics Prosecutor, NYC Office of the (SNP)
Standards and Appeals, Board of (BSA)
Sustainability, Mayor's Office Of
TSASC, Inc.
Tax Appeals Tribunal, New York City (TAT)
Tax Commission, New York City (TC)
Taxi and Limousine Commission (TLC)
Teachers' Retirement System of the City of New York
Transportation, Department of (DOT)
Veterans' Services, Department of (DVS)
Water Board (NYWB)
Water Finance Authority, NYC Municipal (NYW)
Workforce Development, Mayor's Office of
Youth and Community Development, Department of (DYCD)
Full Job Title (including unit):
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Current Position Level:
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Not Sure
Entry Level
Experienced (Non-Manager)
Manager (Supervisor or Staff)
Are you in a union? If you are at all uncertain, please contact your HR department:
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Yes
No
If your agency asks, may we inform your agency of your participation in this program? Select ‘Yes’ to give consent:
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Yes
No
How long have you been employed by NYC Government?
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Have you taken a NYC Government civil service exam?
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Yes
No
Please list the title(s):
Please indicate which of the following skills/experience you possess (select all that apply):
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IT
Policy
Project Management
Environment/Parks
Finance
Emergency Management
Education
Communications
Social Services
Law Enforcement
What is the highest degree or level of education you have completed?
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Some high school
High school/GED
Bachelor’s degree
Master’s degree
Ph.D. or higher
Trade school
Prefer not to answer
Please upload your resume:
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Add
Mentorship Background & Expectations
Have you ever participated in a mentorship program, or have you ever served as an informal mentor?
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Only a mentorship program
Only an informal mentor (non-program)
Both
Neither
How would you describe your previous mentoring relationships? Are you still in touch with your mentees? If you never had a mentee, type n/a. (100 word limit):
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Why do you want to serve as a Service2Service mentor?
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Optional Information
The following fields are optional. Demographic information is being collected for reporting purposes only. If you do not wish to answer any of the fields, please leave them blank.
Age:
Gender Identification:
Female
Male
I prefer to self-describe
Which categories best describe you? (Select all boxes that apply):
White
Black or African-American
Hispanic, Latino, or Spanish origin
Asian
American Indian or Alaska Native
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
Two or More Races
Some other race, ethnicity, or origin
By submitting this application, you are confirming that you are able to engage in three bimonthly mentoring sessions with your assigned Service2Service mentee from April-September 2021.