My AmeriCorps - Registration

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The form contains the following errors:

Your mailing address is a required field.

Your mailing city is a required field.

Your mailing state is a required field.

Your mailing zip code is a required field.

Zip Extension is a required field.

Your Preferred Phone number is a required field.

The selection of preferred method of communication is a required field.

Your permanent address is a required field.

Your permanent city is a required field.

Your permanent state is a required field.

Your permanent zip code is a required field.

Zip Extension is a required field.

Your Permanent Preferred Phone number is a required field.

Create Profile: Step 3 of 4

To create a profile you must provide a current mailing address. If you move, please update your address. An asterisk (*) denotes a required field.
Current Mailing Address:
Is this a foreign (non-US) address? Click here.
* Street address 1:
Street address 2:
* City:
* State:
* Zip code:	-
* Preferred Phone:	(e.g. 555-555-5555)
Is this an international phone number? Click here.
Other Phone:	(e.g. 555-555-5555)
Is this an international phone number? Click here.
* Preferred method of communication:	E-mail Phone


Permanent Address:	To use your current mailing address as your permanent address click here
Is this a foreign (non-US) address? Click here.
* Street address 1:
Street address 2:
* City:
* State:
* Zip code:	-
* Preferred Phone:	(e.g. 555-555-5555)
Is this an international phone number? Click here.
Other Phone:	(e.g. 555-555-5555)
Is this an international phone number? Click here.

OMB Number 3045-0054


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