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| An error has occurred with the application. If the problem continues please contact your administrator. |
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| * Citizenship/Residency Status: |
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*Citizens of the US include persons born in Puerto Rico, Guam, the US Virgin
Islands, and the Northern Mariana Islands. Nationals of the US include persons
born in American Samoa, including Swains Island.
**Generally, you are a Lawful Permanent Resident Alien of the US if you are a
US permanent resident with (i) a Permanent Resident Card, INS Form I-551; (ii)
an Alien Registration Receipt Card, INS Form I-551, (iii) a passport indicating
that the INS has approved it as temporary evidence of lawful admission for
permanent residence; or (iv) a Departure Record (INS Form I-94) indicating that the INS has approved it as
temporary evidence of lawful admission for permanent residence. NOTE: A student
visa does not confer eligibility to enroll in an AmeriCorps program.
*** You are an asylee if you have a Form I-94 with asylum granted stamp; form I-766 with Category
"A5", "A05", or "A-5"; or an Order of the Immigration Judge granting asylum.
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Please answer all of the following questions. AmeriCorps gathers demographic information to ensure opportunities are provided to serve for people of all conditions. This information will be held confidentially, and will solely be used for data analysis to assist us in ensuring we serve all Americans equally. The information you provide will not be used in any way to determine or affect any federal benefit. Questions with an asterisk are required in order to be enrolled as an AmeriCorps member, and all responses will be kept confidential.
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* Are you
moving within
the next six months? |
yes
no |
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| Current Mailing Address: |
| Is this a foreign (non-US) address? Click here. |
* Street address 1:
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Street address 2:
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* City:
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* State:
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* Zip code:
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E-mail
Phone
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| 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:
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Street address 2:
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* City:
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* State:
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* Zip code:
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| Skills and Experience |
| * What is the highest level of education you have completed?: |
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All Honorably Discharged veterans qualify for nomination for the Presidents Volunteer Service Award.
I am a veteran
I am an active duty member of the U.S. Armed Forces
I am a member of the National Guard or Reserve Component
I am an immediate family member of a veteran
I am an immediate family member of an active duty member of the U.S. Armed Forces
I am an immediate family member of a National Guard Member or Reservist
I am not in the military, a veteran or a family member of someone in the U.S. Armed Forces
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*
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yes no
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| * Do you
speak any other languages? |
yes
no |
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| * Do you have
a valid government-issued driver's license? |
yes no |
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| Listed below are skill areas that some
programs find useful and may seek in AmeriCorps applicants.
Indicate the skill areas in which you have had training or
experience, including volunteer or community service experience.
Please note that when you create an application, you will need to
elaborate on each of the skills you have selected. This is not an
exhaustive list of skills. If you have additional skills, please
enter the skill in the 'other' field below. |
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200 characters left
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| Profile Privacy: |
 Check here to allow programs to search for and view your profile.
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| E-mail Notifications: |
Check here to receive e-mail notifications.
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