AmeriCorps Project Conserve Member Application 2013 – 2014 Extended Application Deadline: June 14, 2013

Current Mailing Address (if different from above):      
Telephone:       E-mail:      

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  I can be contacted at this address/phone until:      
  
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  The best time of day to reach me at the above address/phone is:      
  
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  List at least one additional phone number where messages may be left for you:      
  

DIRECTIONS
Applications to Host Sites: To be considered for a Project Conserve position, please submit the following documents directly to each host site to which you are applying. All host sites accept electronic (e-mail) or hard copy applications. Host site contact information can be found on the last page of the application.
 1. Application Form – An original signature is not required on your applications to the host sites.

 2. Short Answers – Short Answer questions are on Page 4 of the application.

 3. College Transcript OR proof of high school graduation – An unofficial transcript is acceptable in your applications to the host sites, as long as the transcript is legible. (Most Project Conserve positions require a college degree. Please see individual service descriptions for specific eligibility requirements.)

 4. Resume – Include education, self-employment history, internships/fellowships, full or part-time paid or unpaid work experience, and any professional affiliations.
Application to Project Conserve Program Director: An additional copy of your application, which includes the documents below, must be submitted to the Project Conserve Program Director.
 1. Application Form – An original or scanned signature is required on your application to the Program Director.

 2. Short Answers – Short Answer questions are on Page 4 of the application.

 3. College Transcript OR proof of high school graduation – Please include an official college transcript with your application to the Program Director or arrange for your school to send the transcript separately.

 4. Resume – Include education, self-employment history, internships/fellowships, full or part-time paid or unpaid work experience, and any professional affiliations.

 5. A Copy of your Birth Certificate OR valid U.S. Passport OR Permanent Resident / Alien Registration Card – Please make sure you send only a COPY and that the copy is clear and legible.

 6. A Copy of your valid Driver’s License – Please make sure the copy is clear and legible. (Most Project Conserve positions require a Driver’s License. If the position does not require Driver’s License, you may include a copy of another valid photo ID.)




2012 – 2013 POSITION SELECTION AND RANKING

Please rank the positions you are applying for below from first choice #1 to last choice.
You may apply for as many positions as you wish.

   Appalachian Voices AmeriCorps Communications Outreach Associate

   Appalachian Voices AmeriCorps Community Outreach Associate

   Blue Ridge Conservancy AmeriCorps Land Protection Associate

   Blue Ridge Women in Agriculture AmeriCorps Program Coordinator

   Carolina Mountain Land Conservancy AmeriCorps Land Protection Associate

   Carolina Mountain Land Conservancy AmeriCorps Outreach / Trails Associate

   Carolina Mountain Land Conservancy AmeriCorps Stewardship Associate

   Carolina Mountain Land Conservancy AmeriCorps Volunteer Program Associate

   CMLC / Society of Transfiguration AmeriCorps Hickory Nut Gorge Steward

   Environmental and Conservation Organization AmeriCorps Water Quality Administrator

   Environmental Quality Institute AmeriCorps Water Quality Associate

   Foothills Conservancy of North Carolina AmeriCorps Communications Outreach Member

   Foothills Equestrian Nature Center (FENCE) AmeriCorps Education Assistant

   Forest Stewards AmeriCorps Forester / Apprentice Forester

   Friends of the Smokies AmeriCorps Outreach Associate

   Friends of the WNC Nature Center AmeriCorps Outreach Coordinator

   Great Smoky Mountains National Park AmeriCorps Citizen Science Assistant

   Green Opportunities AmeriCorps Weatherization Technician (2)

   Green River Preserve / Muddy Sneakers AmeriCorps Environmental Outreach Associate

   The North Carolina Arboretum AmeriCorps Citizen Science Education Specialist

   The Nature Conservancy AmeriCorps Conservation Easement and Stewardship Volunteer Coordinator

   The Nature Conservancy AmeriCorps Bog Restoration and Preserve Management Assistant

   Polk Co. Office of Agricultural Economic Dev’t AmeriCorps Agricultural Outreach Coordinator (2)

   RiverLink AmeriCorps Assistant Volunteer Coordinator

   RiverLink AmeriCorps Education Coordinator

   Southern Appalachian Highlands Conservancy AmeriCorps Land Protection Member

   Southern Appalachian Highlands Conservancy AmeriCorps Public Awareness & Outreach Member

   Southern Appalachian Highlands Conservancy AmeriCorps Stewardship Member (2)

   Town of Lake Lure AmeriCorps Trail Stewardship Coordinator

   Western North Carolina Alliance AmeriCorps French Broad Riverkeeper Assistant

   Western North Carolina Alliance AmeriCorps Outings and Education Coordinator

The policy and intent of CMLC and AmeriCorps Project Conserve are to provide equal employment opportunity to all persons regardless of race, color, religion, national origin, marital status, political affiliation, sexual orientation or gender identity, disability, sex or age, or other status protected by law. Individuals with disabilities are encouraged to apply. AmeriCorps Project Conserve will provide reasonable accommodations to individuals with known mental / physical disabilities.

AmeriCorps Project Conserve is administered by Carolina Mountain Land Conservancy and funded through grants from the North Carolina Commission on Volunteerism and Community Service and from the Corporation for National and Community Service.

COMMUNITY SERVICE

In the space below, describe your involvement in service. How have you reached out to help others, your community, or another community? In the reflection section, elaborate on why you decided to get involved and how you benefited from the service.

A. DATES OF INVOLVEMENT: From (mo/yr):       To (mo/yr):       Hours / Month:      

Organization Name:       Location:      

Contact Person:       Phone:       Email:      
Description of Involvement and Reflection on Experience:      
B. DATES OF INVOLVEMENT: From (mo/yr):       To (mo/yr):       Hours / Month:      
Organization Name:       Location:      
Contact Person:       Phone:       Email:      
Description of Involvement and Reflection on Experience:      

C. PREVIOUS AMERICORPS TERMS

Have you previously served in AmeriCorps?  NO  YES

If “yes,” check all that apply:

 AmeriCorps *VISTA  AmeriCorps *NCCC  AmeriCorps *State or National Program
DATES OF INVOLVEMENT: From (mo/yr):       To (mo/yr):      
Did you complete your term of service?  YES  NO
Program Name:       Location:      
Contact Person:       Phone:       Email:      
Description of Involvement and Reflection on Experience:      




APPLICANT SKILLS & EXPERIENCE:

Please indicate those areas in which you have had significant experience or training.
 Volunteer Coordination  Community Outreach  Land Management  Communications

 Real estate transactions  Geographic Information Systems (GIS)  Media Relations  Writing

 Public Speaking  Water Quality Monitoring  Working with Groups  Education

 HTML / Web Design  Weatherization / Energy Conservation  State & Federal Energy Policies

 Other:      




OPTIONAL INFORMATION

The information in the section below is optional (for demographic data only) and will not be used in making selection decisions. Describe your ethnic background, check all that apply:
 African American  Alaskan Native  Asian American  Hispanic/Latino  Middle Eastern

 Indian Subcontinent  Native American Indian  Pacific Islander  White/Caucasian  Other:      

SURVEY

Please answer all of the following questions:
Are you a U.S. citizen, national, or lawful permanent resident of the U.S? Yes  No 

Are you available for the duration of time from 09/01/21 to 07/31/13? Yes  No 

Are you able to perform all functions of the position described? Yes  No  Yes No

Are you willing to submit to a Criminal Background Check? Yes  No 

Have you ever been convicted of a felony? Yes  No 

If “YES,” please explain      

How did you hear about Project Conserve?      



REFERENCES

Please list TWO professional references (please let them know we may be contacting them):

#1 – Name:       Address:       City/State:      

Telephone:       Email:      

Relationship:       How long has this person known you?      

#2 – Name:       Address:       City/State:      

Telephone:       Email:      

Relationship:       How long has this person known you?      

SHORT ANSWERS

Please answer the following questions in a separate document and include with your application.

1. 
   For which position(s) in AmeriCorps Project Conserve are you applying?
   
2. 
   Please describe why you want to serve in the AmeriCorps Project Conserve program.
   
3. 
   Please describe any specific relevant education, experience, or skills that you have that would be an asset to the AmeriCorps program and the western North Carolina community and environment.
   
4. 
   What are your future career goals?
   
5. 
   Describe any community service experience you have and what you learned from that experience.
   
6. 
   What conservation issue(s) are of personal interest to you?
   

A Point to Ponder… Project Conserve is a program that serves the community and emphasizes building strong partnerships. Please recognize that by applying and accepting a position, you would be willing to serve the FULL eleven months. If you cannot commit to the full term, then please do not apply. Organizations are not able to rehire for the positions until the following year.




SIGNATURE
I attest that the information provided in this application is true and correct to the best of my knowledge. I give the program permission to contact listed references or contact person for community service projects. I also grant permission for CMLC to perform a criminal background check. I understand all AmeriCorps Project Conserve positions are contingent upon receiving continued grant funding.
Signature: Date:






APPLICATION SUBMISSION INFORMATION

• 
  To be considered for a position, you must submit an application to each host site to which you are applying AND an application to the Project Conserve Program Director. Please see Page 1 of this application for details regarding what documents to include with each application.
  

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  All Project Conserve host sites (including program director) accept electronic (e-mail) or hard copy applications.
  
  • 
    If you are submitting an electronic application, please use the following format for file names: Last Name_First Name_Document Name.
    

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  Please note that the primary contact for applications (listed below) may be different than the
  

supervisor identified in the service description.

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  If you are applying for multiple positions at one host site, it is only necessary to submit one copy
  

of your application to the site.

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  Applicants applying for positions located at CMLC only need to submit one application to CMLC. (The program director copy is sufficient.)
  

Program Director Contact Information: Amy Stout

projectconserve@carolinamountain.org

Carolina Mountain Land Conservancy

847 Case Street, Hendersonville, NC 28792
Host Site Contact Information

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