AmeriCorps Project Conserve Member Application 2014 – 2015 Extended Application Deadline: June 17, 2014
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- COMMUNITY SERVICE
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 AmeriCorps Project Conserve
Member Application 2014 – 2015 Extended Application Deadline: June 17, 2014 For questions, please contact Amy Stout at (828) 697-5777, ext. 208, projectconserve@carolinamountain.org Your Legal Name: Nickname: Last 4 digits of Social Security Number: Date of Birth: Permanent Mailing Address: Telephone: E-mail: Current Mailing Address (if different from above): Telephone: E-mail:
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 under the “How to Apply” link on the APC website. 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.)
2014 – 2015 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 Education & Outreach Associate Asheville GreenWorks AmeriCorps Environmental Education & Outreach Coordinator Blue Ridge Women in Agriculture AmeriCorps Program Coordinator Carolina Mountain Land Conservancy AmeriCorps Trails Associate Carolina Mountain Land Conservancy AmeriCorps Outreach Associate Carolina Mountain Land Conservancy AmeriCorps Stewardship Associate Carolina Mountain Land Conservancy AmeriCorps Volunteer Program Associate Carolina Mountain Land Conservancy AmeriCorps Hickory Nut Gorge Steward Environmental and Conservation Organization AmeriCorps Water Quality Administrator Environmental Quality Institute AmeriCorps Volunteer Coordinator Foothills Equestrian Nature Center (FENCE) AmeriCorps Education Assistant Forest Stewards AmeriCorps Outreach and Restoration Forester Friends of the WNC Nature Center AmeriCorps Volunteer & Education Associate Great Smoky Mountains National Park AmeriCorps Citizen Science Assistant Green Opportunities AmeriCorps Outreach & Volunteer Coordinator Green Opportunities AmeriCorps Training Associate Green River Preserve AmeriCorps Environmental Outreach Associate The North Carolina Arboretum AmeriCorps Citizen Science Education Assistant The Nature Conservancy AmeriCorps Stewardship Associate Polk Co. Office of Agricultural Economic Dev’t AmeriCorps Education and Outreach Coordinator RiverLink AmeriCorps Assistant Volunteer Coordinator RiverLink AmeriCorps Assistant Watershed Resources Coord. RiverLink AmeriCorps Watershed Education Coordinator Southern Appalachian Highlands Conservancy AmeriCorps Education & Volunteer Outreach Associate Southern Appalachian Highlands Conservancy AmeriCorps Land Protection & Education Associate Southern Appalachian Highlands Conservancy AmeriCorps Stewardship & Volunteer Associate (2) Town of Lake Lure AmeriCorps Trail Stewardship Coordinator Western North Carolina Alliance AmeriCorps French Broad Riverkeeper Assistant Western North Carolina Alliance AmeriCorps Forest Keeper Coordinator Western North Carolina Alliance AmeriCorps Education & Outings 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 by the Corporation for National and Community Service, the North Carolina Commission on Volunteerism and Community Service in the office of Governor Pat McCrory, and the critical support of our host sites and community partners.
COMMUNITY SERVICEIn 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 TERMSHave you previously served in AmeriCorps? NO YESIf “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:
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 09/01/14 to 07/31/15? 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 History Check? Yes No Have you ever been convicted of a felony? Yes No If “YES,” please explain How did you hear about Project Conserve?
#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 ANSWERSPlease answer the following questions in a separate document and include with your application.
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 history check. I understand all AmeriCorps Project Conserve positions are contingent upon receiving continued grant funding. Name (printed): Signature: Date:
APPLICATION SUBMISSION INFORMATION
in the service description. To find out where to send your host site applications, please see the Host Site Contact List, which can be found in the Application Instructions under the “How to Apply” link on the Project Conserve website.
of your application to the site.
Program Director Contact Information: Amy Stout projectconserve@carolinamountain.org Carolina Mountain Land Conservancy 847 Case Street, Hendersonville, NC 28792 Directory: sites -> default -> files files -> Answer True False 2 points Question 2 files -> Northern England’s set-jetting locations files -> Nstructions for Acquiring Excess Equipment online, through the 1033 Program files -> Occupational health and safety files -> The Black Panther Party’s Ten Point Program files -> International programs roel profile files -> Fermi Questions a guide for Teachers, Students, and Event Supervisors Lloyd Abrams, Ph. D. DuPont Company, cr&D/ccas experimental Station Wilmington, de 19880 files -> Personal Information Name: Maha Al-Ammari Nationality: Saudi Relationship Status Download 44.51 Kb. Share with your friends:
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