,,am]icorps ,,applic,n ,yr ,_w4 ,yr ,*.e ,6,make ,x ,bett]4 ,,apply ,,td6 _+www.americorps.gov_: ,,"qs8 ,,call #a-hjj-idb-bfgg ,,or 7,,tty7 #a-hjj-hcc-cgbb ,,pl1se ,,r1d ,,? ,,9=m,n ,,2f ,,-plet+ ,,! ,,applic,n -- ,? applic,n may 2 us$ 6apply = mo/ ,am]i,corps programs4 ,h["e1 if y >e apply+ 6an ,am]i,corps-,/ate or ,am]i,corps-,n,nal program1 y %d f/ *eck )! program 6see if x requires a4i;nal or alt]nate =ms4 ,6det]m9e specific applic,n require;ts visit ! ,am]i,corps website at _+www.americorps.gov_: or call #a-hjj-idb-bfgg4 -- ,if y're apply+ 6m ?an "o ,am]i,corps program1 -plete ! 5tire applic,n except = "q #aa &! f9al 8,c]tific,n0 ,sec;n4 ,make "o copy (! applic,n = ea* program4 ,!n1 answ] "q #aa & sign ea* copy sep>ately 2f mail+4 -- ,y may use a4i;nal %eets ( pap] 6provide m detail$ 9=m,n t w n fit on ? applic,n =m4 ,5close "ey?+ 9 ! f9al applic,n packet t y submit4 -- ,two ref];e =ms >e 5clos$ 9 ? packet4 ,!y >e an important "p ( #c yr applic,n & m/ 2 submitt$ ) yr applic,n4 ,yr applic,n _c 2 3sid]$ )\t ref];es4 ,if y >e apply+ 6multiple programs & us+ ! same p]son z a ref];e1 pl1se rem9d !m 6make multiple copies af -plet+ ! ref];e =m4 -- ,make a copy ( yr applic,n = yr p]sonal records 2f y s5d x in4 -- ,s5d yr applic,n 6! "r place4 ,pl1se ref] 6! back cov] = 9/ruc;ns4 -- ,? public,n is availa# ^u reque/ 9 alt]native =mats = p ) 4abilities4 ;,e-mail _+questions@americorps.org_: or call #a-hjj-idb-bfgg2 ,,tty3 #a-hjj-hcc-cgbb4 ,public report+ burd5 = ? collec;n ( 9=m,n is e/imat$ 6av]age #de m9utes p] submis.n1 9clud+ review+ 9/ruc;ns1 ga!r+ & ma9ta9+ ! data ne$$1 & -plet+ ! =m4 ,-;ts on ! burd5 or 3t5t ( ? 9/ru;t may 2 s5t 6! ,corpor,n = ,n,nal & ,-mun;y ,s]vice1 ,(fice ( ,public ,a6airs1 ,attn3 ,d5ise ,y1g]1 #abja ,new ,york ,av5ue1 ,,nw1 ,wa%+ton1 ,,dc #bjebe4 ,! ,corpor,n 9=ms p :o may respond 6? collec;n ( 9=m,n t !y >e n requir$ 6respond 6! collec;n ( 9=m,n un.s ! ,,omb 3trol numb] & expir,n date 4play$ on page #a >e curr5t & valid4 7,see #e ,c4,f4,r4 #acbj.e7b77#b77i747 #a ,,omb_? #cjde-jjed ;o ,expires #aj_/bjjg ,?\s&s ( ,opportunities ,await4 ,apply ,td6 ,6le>n m ab ,am]i,corps & ea* (! programs1 visit _+www.americorps.gov_:4 ,or call ! ,am]i,corps hotl9e at #a-hjj-idb-bfgg 7,,tty #a-hjj-hcc-cgbb74 ,,am]icorps ,,applic,n #e ,,p]sonal ,,profile #a4 ,,"n3 ,,la/ ---- ,,f/ ---- ,,mi4le ---- #b4 ,am]i,corps memb]s m/ 2 a ,unit$ ,/ates citiz51 ,u4,s4 ,n,nal or ,law;l ,p]man5t ,resid5t4 ,>e y a ,unit$ ,/ates citiz51 n,nal1 or law;l p]man5t resid5t ali58 ---- ,yes ---- ,no ,if y >e a law;l p]man5t resid5t ali5 & y rcvd yr c>d af ,janu>y #aihg1 :at is yr regi/r,n numb] & c>d expir,n date8 ---- #c4 ,,social ,,secur;y ,,numb]3 ---- #d4 ,,date ,,( ,,bir?3 ,,mon?_/,,"d_/,,ye> ---- #e4 ,,place ,,( ,,bir?3 ,,c;y_/,,/ate_/,,c.try ---- #f4 ,,g5d]3 ---- ,male ---- ,female #g4 ,e>lie/ date y >e availa# 62g9 s]vice3 ,,mon?_/,,"d_/,,ye> ---- #h4 ,,curr5t ,,a4ress3 ..,all 9=m,n w 2 s5t 6? a4ress un.s y notify u (a .*ange4 ,,numb] ,,& ,,/reet 7,,if ,,possi#1 ,,9clude ,a ,,numb] ,,& ,,/reet ,,a4ress ,,:5 ,,us+ ,a ,p4,o4 ,,box7 ---- ,,c;y ---- ,,/ate ---- ,,zip ,,code ---- ,home ,ph"o ---- ,"w ,ph"o ---- ,cell ,ph"o ---- ;,e-,mail ---- #i4 ,>e y mov+ )9 ! next six mon?s8 ---- ,yes ---- ,no ,if yes1 :58 99 ,,mon?_/,,"d_/,,ye> ---- 99 ..,pl1se notify u ( new a4ress at "t ( .move4 #aj4 ,,p]man5t ,,a4ress3 7if di6]5t ?an abv7--,pl1se give ! "n & a4ress (a p]son "? :om y c alw 2 r1*$3 ,"n3 ,,f/ ---- ,,la/ ---- ,rel,n%ip3 ---- ,,numb] ,,& ,,/reet 7,,if ,,possi#1 ,,9clude ,a ,,numb] ,,& ,,/reet ,,a4ress ,,:5 ,,us+ ,a ,p4,o4 ,,box7 ---- ,,c;y ---- ,,/ate ---- ,,zip ,,code ---- #g ,home ,ph"o ---- ,"w ,ph"o ---- ,cell ,ph"o ---- ;,e-,mail ---- #aa4 ,: ,am]i,corps program >e y apply+ to8 ..,*eck only "o--,if y >e apply+ 6m ?an "o ,am]i,corps program1 fill ? 9 af y copy yr applic,n4 ,5t] ! program 9=m,n on ea* .applic,n4 ---- ,am]i,corps-,,nccc 7,n,nal ,civilian ,-mun;y ,corps7 ,memb]s ages #ah 6#bd s]ve 9 a #aj-mon? t1m-bas$ resid5tial program 6-plete a v>iety ( s]vice projects 9 ! >1s ( $uc,n1 4a/] s]vices1 ! 5viron;t1 & o!r unmet ne$s4 ,memb]s (t5 travel 6projects "?\t _! region4 ---- ,fall ,class 7,septemb]_/,octob] />t dates7 ---- ,w9t] ,class 7,janu>y />t dates7 ---- ,am]i,corps-,,vista 7,volunte]s 9 ,s]vice 6,am]ica7 ,memb]s provide 9direct s]vice "? private organiz,ns & public non pr(it ag5cies1 a4ress+ issues relat$ 6pov]ty--s* z public h1l?1 $uc,n1 ! 5viron;t1 public safety1 & employ;t--0develop+ & mobiliz+ res\rces t cr1te l;g-t]m su/a9a# b5efits at a -mun;y level4 ,program ,"n ---- ,program ,a4ress ---- ---- ,am]i,corps-,/ate & ,n,nal ,memb]s s]ve ei 9 t1ms or 9dividu,y "? n,nal & -mun;y-bas$ private & public organiz,ns4 ,memb]s help solve -mun;y pro#ms "? direct & 9direct s]vice1 9 ! >1s ( $uc,n1 public safety1 ! 5viron;t1 & o!r human ne$s1 s* z h1l? & h\s+4 ,program ,"n ---- ,program ,a4ress ---- ,,$uc,n #ab4 ,*eck ! hie plann+ 6s]ve 9 ,am]i,corps4 7.,*eck .only ."o47 ---- ,"s hi< s*ool ---- ,hi< s*ool diploma or ,,ged ---- ,te*nical s*ool_/,appr5tice%ip #i ---- ,associate's degree ---- ,"s college ---- ,ba*elor's degree ---- ,graduate degree ---- ,o!r 7pl1se specify73 ---- #ac4 ,li/ all s*ools af hi< s*ool t y h att5d$1 9clud+ trade or te*nical s*ools1 milit>y tra9+ & employ;t tra9+ programs4 ,',pr9t ta# %[s f\r blank r[s4 ,columns foll[ ea* o!r 9 ? ord]3 ,"n ( ,s*ool 7,li/ mo/ rec5t f/73 ,loc,n ( ,s*ool 7,c;y_/,/ate72 ,dates ,att5d$--,f 7,mo4_/,yr471 ,to 7,mo4_/,yr472 ,major or ,>ea ( ,/udy2 ,type ( ,degree or ,c]tificate2 ,date ,rcvd or ,expect$4,' ,,-mun;y ,,s]vice 7,previ\s s]vice is n alw a require;t47 #ad4 ,describe h[ y h r1*$ \ 6help o!rs &_/or h[ y h be5 9volv$ 9 yr [n -mun;y4 ,expla9 :y y decid$ 6s]ve or get 9volv$1 & :at y rcvd 9 return--t is1 :at y le>n$ or h[ x made y feel4 ,?9k 9 broad t]ms4 ,li/ yr mo/ rec5t activ;y f/4 ,atta* a sep>ate %eet ( pap] if y ne$ m space4 7,yr 9volve;t cd 9clude s]v+ 9 nei ---- ,to3 ,,mon?_/,,ye> ---- ,h\rs p] mo43 ---- ,organiz,n ,"n3 ---- ,loc,n3 ---- ,ph"o3 ---- ,descrip;n ( ,9volve;t3 ---- ,b4 ,,dates ,,( ,,9volve;t3 ,f3 ,,mon?_/,,ye> ---- ,to3 ,,mon?_/,,ye> ---- ,h\rs p] mo43 ---- ,organiz,n ,"n3 ---- ,loc,n3 ---- ,ph"o3 ---- ,descrip;n ( ,9volve;t3 ---- #aa #ae4 ,h y previ\sly s]v$ 9 ,am]i,corps8 ---- ,yes ---- ,no ,h[ _m "ts 9 ea* (! programs8 ,am]i,corps-,,vista ---- ,am]i,corps-,,nccc ---- ,am]i,corps-,/ate & ,n,nal ---- ,program or ,am]i,corps-,,nccc ,campus ,loc,n3 ,,c;y_/,,/ate ---- ,f3 ,,mon?_/,,ye> ---- ,to3 ,,mon?_/,,ye> ---- ,did y -plete yr t]m ( s]vice8 ---- ,yes ---- ,no ,if no1 :y n8 ---- ,,motiv,nal ,,/ate;t #af4,we wd l 6"u/& m ab y & yr r1sons = apply+ 6,am]i,corps4 ,take a few m9utes & 3sid] ^? exp]i;es : h made y ! p]son y >e td4 ,pl1se %>e ) u "o ( ^! exp]i;es & h[ x sp>k$ yr 9t]e/ 9 -mun;y s]vice4 ,if y ne$ a4i;nal space1 atta* a sep>ate piece ( pap] & limit yr total response 6#ejj ^ws4 ---- ,,employe;t #ag4 ,2g9n+ )! mo/ curr5t or mo/ rec5t posi;n1 li/ & briefly describe ! la/ f\r posi;ns y h held or yr la/ t5 ye>s ( employ;t y h held4 ,2g9 )! curr5t or mo/ rec5t & g back t5 ye>s4 ,9clude self-employ;t1 9t]n%ips_/fell[%ips1 home manage;t1 & full- or "p-"t pd or unpd "w exp]i;e4 7,y may atta* a resume 9/1d if x a4resses ! 9=m,n reque/$ 2l47 ,',pr9t ta# %[s f\r blank r[s4 ,columns foll[ ea* o!r 9 ? ord]3 ,,"n ,,& ,,a4ress ,,( ,,employ] 7,organiz,n1 ,c;y_/,/ate1 ,sup]visor3 ,ph"o & email73 ,,dates 7,f 7,,mo4_/,,yr471 ,to 7,,mo4_/,,yr471 ,hrs4_/week72 ,,job ,,title ,,& ,,duties 7,title1 ,duties1 ,r1son = l1v+74,' #ah4 ,expla9 any p]iod ( "t grt] ?an six mon?s n a3.t$ = #ac 0,am]i,corps1 ,p1ce ,corps1 "w1 s*ool1 or milit>y s]vice4 ,or1 expla9 :y y h no employ;t hi/ory4 ---- ,,skills ,,& ,,exp]i;e #ai4 ,li/$ 2l >e skill >1s t "s programs f9d use;l & may seek 9 ,am]i,corps applicants4 ,9dicate ! skill >1s 9 : y h _h tra9+ or exp]i;e1 9clud+ volunte] or -mun;y s]vice exp]i;e1 & 9dicate h[ y ga9$ ^? skills4 ,,example3 ,'*eck m>k 9 box,' ,public ,sp1k+--,club ,presid5t ---- ,>*itectural ,plann+ ---- ,busi;s_/,5trepr5eur ---- ,-munic,ns ---- ,-mun;y ,org4_/,develop;t ---- ,-put]s_/,te*nology ---- ,3flict ,resolu;n ---- ,c\nsel+ ---- ,$uc,n ---- ,f9e ,>ts_/,crafts ---- ,f/ ,aid ---- ,fundrais+_/,grant ,writ+ ---- ,law ---- ,l1d]%ip ---- ,m$ic9e ---- ,\tr1* ---- ,public ,h1l? ---- ,public ,sp1k+ ---- ,recruit;t ---- ,t1*+_/,tutor+ ---- ,trade_/,3/ruc;n ---- ,writ+_/,$it+ ---- ,y\? ,develop;t ---- ,o!r 7specify73 ---- #bj4 ,d y "k or h y /udi$ any language7s7 o!r ?an ,5gli%8 ---- ,yes ---- ,no ,language7s73 ---- ,numb] ( ,ye>s ,/udi$ or ,spok53 ---- ,sp1k+ ,abil;y3 ---- ,poor ---- ,fair ---- ,gd ---- ,excell5t ,writ+ ,abil;y3 ---- ,poor ---- ,fair ---- ,gd ---- ,excell5t #ba4 ,9 ! space 2l or on a #ae sep>ate %eet ( pap]1 provide any a4i;nal skills & exp]i;e t may 2 help;l 9 evaluat+ yr applic,n1 9clud+ o!r languages spok54 ---- #bb4 ,d y h a valid driv]'s lic5se8 ---- ,yes ---- ,no ,lic5se _? ---- ,/ate ---- ,,economic ,,backgr.d #bc4 ,am]i,corps seeks 69volve "picipants f all economic backgr.ds4 ,pl1se provide yr curr5t h\sehold 9=m,n or t (! p]son claim+ y z a dep5d5t4 a4 ,9clud+ yrf1 h[ _m p live 9 yr h\sehold8 ---- b4 ,:at is ! total annual h\sehold 9come8 ---- c4 ,d y or memb]s ( yr h\sehold rcv public assi/.e s* z ,,tanf or ,food ,/amps8 ---- ,yes ---- ,no d4 ,d y h *n :o rely on y z _! prim>y c>etak] or = f9ancial support8 ---- ,yes ---- ,no ,,crim9al ,,hi/ory ,! ,am]i,corps applic,n process requires a crim9al hi/ory *eck 65sure -mun;y memb]s ) :om we "w >e protect$1 "picul>ly *n1 9dividuals ) 4abilities1 & 9dividuals ov] #fj ye>s old4 ,we >e 9ve/igat+ = pa/ sexual (f5ses & viol5t crimes1 or crime t wd h a direct be>+ on yr s]vice4 ,? backgr.d *eck w 5tail \r se>* (! ,n,nal ,sex ,(f5d]s ,regi/ry & an ,,fbi crim9al hi/ory *eck1 : w require yr 2+ f+]pr9t$ at ,pre-,s]vice ,ori5t,n4 ,y w n 2 p]mitt$ 6s]ve or "w ) *n1 9dividuals ) 4abilities1 or 9dividuals ov] #fj ye>s ( age1 )\t sup]vi.n until ! hi/ory *eck is -plete & y >e cle>$4 ,! review process is n l5g?y1 & norm,y is -plet$ )9 weeks4 ,answ] ! foll[+ "qs fully4 ,exi/;e (a crim9al 3vic;n or juv5ile adjudic,n may or may n1 dep5d+ on ! #ag circum/.es1 4qualify y f 3sid],n4 ,h["e1 any 9t5;nal misrepres5t,n or omis.n w 4qualify y4 ,d n 9clude m9or tra6ic viol,ns4 #bd4 ,h y "e be5 3vict$ z an adult1 or adjudicat$ z a juv5ile (f5d]1 ( any crim9al (f5se 0ei a civilian or milit>y c\rt1 o!r ?an m9or tra6ic viol,ns8 ---- ,yes ---- ,no ,>e y curr5tly fac+ *>ges = any (f5se or on prob,n or p>ole8 ---- ,yes ---- ,no ,if no1 skip to 8,c]tific,n0 2l4 ,if y answ]$ yes 6any (! "qs abv1 pl1se provide ! foll[+ 9=m,n3 ,date3 ,,mon?_/,,"d_/,,ye> --- ,place3 ,,c;y ---- ,,/ate ---- ,*>ge3 ---- ,ac;n ,tak53 ---- ,c\rt1 ,prob,n1 or ,p>ole ,(fic]3 ---- ,ph"o3 ---- ,,"n3 ---- ,a4ress3 ,,numb] ,,& ,,/reet ---- ,,c;y ---- ,,/ate ---- ,,zip ,,code ---- ,y may atta* any a4i;nal 9=m,n or explan,n on a sep>ate %eet4 ,,c]tific,n ,if y *oose 6submit a pap] applic,n1 yr applic,n m/ 2 c]tifi$ ) yr orig9al signature 9 9k4 ,if y >e apply+ 6m ?an "o ,am]i,corps program1 make a copy = ea* program t y're apply+ 6f/1 & !n sign ea* "o4 ..,0sign+ ? applic,n1 or 0submitt+ x electronic,y if apply+ on-l9e1 ,i c]tify t all (! /ate;ts made 9 ? applic,n >e true1 correct1 & -plete1 6! be/ ( my k1 & >e made 9 gd fai?4 ,mis9=m,n or omis.n ( 9=m,n cd result 9 4qualific,n or t]m9,n z an ,am]i,corps memb]4 ,if ,i am select$ = "picip,n 9 "s ,am]i,corps programs1 9clud+ ,am]i,corps-,,nccc1 ,i may 2 requir$ 6submit 6a physical exam9,n1 9clud+ drug or alcohol te/+4 ,backgr.d & secur;y *ecks may al 2 3duct$ #ai 0"s programs4 ..,,privacy ,,act ,,notice3 ,! ,privacy ,act ( #aigd 7#e ,u4,s4,c s' #eeb;a7 requires t ! foll[+ notice 2 provid$ 6y3 ,! au?or;y = collect+ 9=m,n f y 9 ? applic,n is 3ta9$ 9 #db ,u4,s4,c #abeib & #abfae (! ,n,nal & ,-mun;y ,s]vice ,act ( #aiij z am5d$1 & #db ,u4,s4,c #diec (! ,dome/ic ,volunte] ,s]vice ,act ( #aigc z am5d$4 ,y >e advis$ t submis.n (! 9=m,n is 5tirely volunt>y1 b ! reque/$ 9=m,n is requir$ 9 ord] = y 6"picipate 9 ,am]i,corps programs4 ,! pr9cipal purpose = reque/+ ? p]sonal 9=m,n is 6process yr applic,n = a3ept.e 96an ,am]i,corps program1 &= o!r g5]al r\t9e purposes associat$ ) yr "picip,n 9 an ,am]i,corps program4 ,^! r\t9e purposes may 9clude 4closure (! 9=m,n 6f$]al1 /ate1 or local ag5cies pursuant 6law;lly au?oriz$ reque/s1 6pres5t & =m] employ]s1 ref];es provid$ 0y 9 yr applic,n1 & $uc,nal 9/itu;ns1 =! purpose ( v]ify+ ! 9=m,n provid$ 0y 9 yr .applic,n4 ,9 "s programs1 ! 9=m,n may al 2 provid$ 6f$]al1 /ate1 & local law 5=ce;t ag5cies 6det]m9e ! exi/;e ( any prior crim9al 3vic;ns4 ,! 9=m,n w n o!rwise 2 4clos$ 65tities \tside ( ,am]i,corps &! ,corpor,n = ,n,nal & ,-mun;y ,s]vice )\t yr prior writt5 p]mis.n4 ,,signature ---- ,,date ---- ,pr9t ,"n3 ---- ,',! foll[+ ,,ref];e ,,=m appe>s twice 9 pr9t4,' ,,ref];e ,,=m ,,6,,! ,,applicant3 ,pl1se -plete ! 9=m,n 2l & give ? =m 6ea* ( yr ref];es4 ,select p :o "k y well & :o >e famili> ) yr p]sonal backgr.d1 $uc,n1 employ;t1 &_/or profes.nal skills4 ,y %d n ask a family memb]1 pe]1 classmate1 co-"w]1 or fr 6s]ve z a ref];e4 ,3sid] #ba ask+ "w sup]visors1 cl]gy1 t1*]s1 c\nselors1 coa*es1 or "s"o else famili> ) yr motiv,n & -mun;y 9volve;t4 ,yr ref];e %d -plete ? =m1 s1l x 9 an 5velope1 sign 8 or h] "n acr ! s1l on ! \tside (! 5velope1 & return x 6y 69clude )! applic,n y s5d 6,am]i,corps4 ,applicant's ,"n3 ,,la/ ---- ,,f/ ---- ,,mi4le ---- ,a4ress3 7,,if ,p4,o4 ,,box1 ,,al ,,give ,,numb] ,,& ,,/reet7 ,,c;y ---- ,,/ate ---- ,,zip ,,code ---- ,home ,ph"o3 ---- ,"w ,ph"o3 ---- ,,9dicate ,,! ,,program ,,t ,,y ,,>e ,,apply+ ,,to 7*eck only "o73 ---- ,am]i,corps-,,nccc ---- ,am]i,corps-,,vista ,program ,"n3 ---- ,program ,a4ress3 ---- ---- ,am]i,corps-,/ate & ,n,nal3 ,program ,"n3 ---- ,program ,a4ress3 ---- ,,6,,! ,,p]sonal ,,ref];e3 ,am]i,corps 5gages m ?an #gj1jjj ,am]icans a ye> 9 results-driv5 s]vice sponsor$ 0?\s&s ( local & n,nal nonpr(its1 public ag5cies1 & fai?-bas$ & -mun;y organiz,ns4 ,am]i,corps memb]s help -munities meet critical *all5ges 9 ! >1s ( $uc,n1 public safety1 ! 5viron;t1 & o!r human ne$s4 ,9 return1 ,am]i,corps memb]s may e>n an ,am]i,corps ,$uc,n ,aw>d t helps pay = college or pay back /ud5t loans4 ,! p]son "nd abv is apply+ 6be an ,am]i,corps memb]4 ,! applicant has 9dicat$ t y wd 2 a# 6evaluate 8 or h] qualific,ns & provide u )a c&id recomm5d,n4 ,! su3ess ( ,am]i,corps l>gely dep5ds ^u an appropriate mat* 2t programs & memb]s4 ,3sid]a# value is plac$ on p]sonal ref];es dur+ ! applic,n review & selec;n process4 ,yr 9put is grtly appreciat$4 #bc ,"n ( ,ref];e3 ,,la/ ---- ,,f/ ---- ,,mi4le ---- ,posi;n_/,title3 ---- ,organiz,n_/,9/itu;n3 ---- ,a4ress3 7,,if ,p4,o4 ,,box1 ,,al ,,give ,,numb] ,,& ,,/reet7 ---- ,,c;y ---- ,,/ate ---- ,,zip ,,code ---- ,home ,ph"o3 ---- ,"w ,ph"o3 ---- ;,e-mail3 ---- ,,k ,,( ,,! ,,applicant ,h[ l;g h y "kn ! applicant8 ,ye>s3 ---- ,mon?s3 ---- ,9 :at capac;y h y "kn ! applicant8 ---- ,job ,sup]visor_/,employ] ---- ,hi< ,s*ool ,t1*] ---- ,cl]gy ---- ,volunte] ,sup]visor ---- ,college ,9/ructor ---- ,coa* ---- ,o!r 7specify73 ---- ,pl1se describe ! situ,n 9 : y "k ! applicant4 ---- ,,"w ,,p]=m.e #a4 ,pl1se -;t on s* qualities z ! applicant's level ( dep5dabil;y1 9itiative1 & abil;y 6"w ) m9imal sup]vi.n & z a memb] (a t1m4 ---- #b4 ,9 yr judg;t1 h[ -pet5t is ? applicant1 z demon/rat$ 0"w 9 ! -mun;y1 9 s*ool1 on ! job1 or 9 a posi;n ( responsibil;y8 ,pl1se *eck "o4 ---- ,\t/&+ p]=m.e ---- ,abv av]age p]=m.e ---- ,satisfactory ---- ,2l av]age p]=m.e ---- ,unsatisfactory p]=m.e ,,rel,n%ips ,,) ,,o!r ,,p #c4 ,am]i,corps memb]s m/ s]ve & -municate ) p ( v>i$ cultural1 economic1 $uc,nal1 racial1 & religi\s backgr.ds4 ,pl1se -;t briefly on ! applicant's rel,n%ips ) o!rs & abil;y 6"w z a memb] (a t1m4 ---- #be ,,emo;nal ,,matur;y #d4 ,pl1se -;t on ! applicant's abil;y 6adapt & "w "u di6icult & *ang+ 3di;ns4 ---- ,,a4i;nal ,,-;ts ,,& ,,support+ ,,9=m,n #e4 ,if y wi%1 use a4i;nal pap] 6expla9 any ( yr rat+s1 & any?+ else ab ? applicant t y feel is relevant 6s]v+ 9 ,am]i,corps--s* z ! applicant's desire 6s]ve o!rs1 matur;y1 "w e?ic1 flexibil;y1 & dep5dabil;y4 ,expla9 any res]v,ns t y h reg>d+ ! applicant's "picip,n 9 ! ,am]i,corps program 6: he or %e has appli$4 ,,ov]all ,,recomm5d,n #f4 ,:at is yr ov]all recomm5d,n8 ---- ,i recomm5d ! applicant = ,am]i,corps s]vice4 ---- ,i h "s res]v,ns1 b ,i 2lieve ! applicant w su3e$ 9 s]v+ ) ,am]i,corps4 ---- ,i d n recomm5d ? applicant = ,am]i,corps s]vice4 ,,3fid5tial;y ,,/ate;t ---- ,i ,,au?orize ! program &_/or ! ,corpor,n = ,n,nal & ,-mun;y ,s]vice 6id5tify me z ! s\rce ( ? ref];e & 6rel1se a copy ( ? ref];e 9 xs 5tirety ^u reque/ 6! applicant4 ---- ,i ,,d ,,n au?orize ! program &_/or ! ,corpor,n = ,n,nal & ,-mun;y ,s]vice 6id5tify me z ! s\rce ( ? ref];e1 nor d ,i au?orize ! rel1se (a copy ( ? ref];e 9 xs 5tirety 6! applicant4 ,yr ,signature3 ---- ,,pl1se ,,return ,,? ,,=m1 ,,9 ,,an ,,5velope ,,sign$ ,,acr ,,! ,,s1l1 ,,directly ,,6,,! ,,applicant4 ,,op;nal ,,9=m,n ,,h[ ,,did ,,y ,,f/ ,,he> ,,ab ,,am]icorps8 ,y may *eck m ?an #bg "o4 ---- ,am]i,corps repres5tative 7s]vice_/c>e] fair1 3f];e1 9=m,n ses.n7 ---- ,>m$ ,=ces ---- ,curr5t or =m] ,am]i,corps memb] ---- ,fr_/,relative ---- ,9t]net_/,li/s]v_/,e-mail ---- ,newspap]_/,magaz9e adv]tise;t ---- ,o!r s]vice organiz,n ---- ,radio /ory ---- ,televi.n adv]tise;t ---- ,po/] at s*ool ---- ,college guid.e (fice_/,place;t (fice ---- ,de"p;t ( ,$uc,n ---- ,hi< s*ool guid.e c\nselor ---- ,newspap]_/,magaz9e >ticle ---- ,p1ce ,corps ---- ,radio adv]tise;t ---- ,rcvd 9=m,n 9 ! mail ---- ,televi.n news /ory ---- ,o!r 7specify7 ---- ,,:at ,,is ,,yr ,,e?nic;y8 ---- ,hispanic or ,lat9o ---- ,n ,hispanic or ,lat9o ,,:at ,,is ,,yr ,,race8 ,m>k "o or m3 ---- ,am]ican ,9dian or ,alaska ,native4 ,a p]son hav+ orig9s 9 any (! orig9al peoples ( ,nor? & ,s\? ,am]ica 79clud+ ,c5tral ,am]ica7 & :o ma9ta9s tribal a6ili,n or -mun;y atta*;t4 ---- ,asian4 ,a p]son hav+ orig9s 9 any (! orig9al peoples (! ,f> ,ea/1 ,s\?ea/ ,asia1 or ! ,9dian subcont95t 9clud+1 = example1 ,cambodia1 ,*9a1 ,9dia1 ,japan1 ,korea1 ,malaysia1 ,paki/an1 ! ,philipp9e ,isl&s1 ,?ail&1 & ,vietnam4 ---- ,black or ,african ,am]ican4 ,a p]son hav+ orig9s 9 any (! black racial gr\ps ( ,africa4 ---- ,native ,hawaiian or ,o!r ,pacific ,isl&]4 ,a p]son hav+ orig9s 9 any (! orig9al peoples ( ,hawaii1 ,guam1 ,samoa1 or o!r #bi ,pacific ,isl&s4 ---- ,:ite4 ,a p]son hav+ orig9s 9 any (! orig9al peoples ( ,europe1 ! ,mi4le ,ea/1 or ,nor? ,africa4 ,,": ,,6,,s5d ,,yr ,,applic,n ,pl1se s5d yr applic,n directly 6! ,am]i,corps program ": y wi% 6s]ve4 ,6get ! a4ress =! ,am]i,corps ": y wi% 6s]ve1 or 6apply onl9e1 visit ! ,am]i,corps website at _+www.americorps.gov_:4 ,if y don't h ,9t]net a3ess y c / get program 9=m,n or apply 0call+ #a-hjj-idb-bfgg4 ,x is a gd idea 6call ! program7s7 t 9t]e/ y 2f y apply 9 ord] 65sure t applic,ns >e curr5tly 2+ a3ept$4 ,if y >e apply+ 6,am]i,corps-,,nccc1 s5d yr applic,n to3 ,am]i,corps-,,nccc #abja ,new ,york ,av5ue1 ,n4,w4 ,wa%+ton1 ,,dc #bjebe ,! ,corpor,n = ,n,nal & ,-mun;y ,s]vice programs >e availa# 6all )\t reg>d 6race1 color1 n,nal orig91 4abil;y1 age1 g5d]1 sexual ori5t,n1 religion1 political a6ili,n1 or o!r non-m]it factors4 ,any"o 2liev+ he or %e has be5 subject$ 64crim9,n on ^! gr.ds 0! ,corpor,n = ,n,nal & ,-mun;y ,s]vice1 ,am]i,corps1 or "o ( xs grantees may 3tact \r ,(fice ( ,civil ,"rs & ,9clusive;s at 7#bjb7 #fjf-gejc or email at _+eo@cns.gov_:4 ,,! ,,5d