AmeriCorps Project Conserve Member Application 2015 – 2016 Extended Deadline: June 19, 2015



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AmeriCorps Project Conserve

Member Application 2015 – 2016

Extended Deadline: June 19, 2015
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:      






  • I can be contacted at this address/phone until:      

  • The best time of day to reach me at the above address/phone is:      

  • 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 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 and has your name. (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, community service 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 – If possible, please submit a single pdf or typed word document to simplify processing.

 2. Signature Page – This page may be scanned and submitted in a separate document (for email submissions).

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

 4. College Transcript OR proof of high school graduation – An unofficial transcript is permitted at the time of application, as long as it is legible and has your name. An official college transcript must be received within 2 weeks of being offered a position.

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

 6. 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.

 7. 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.)



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.




  • 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.




  • Please note that the primary contact for applications may be different than the supervisor identified

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.


  • For positions located at CMLC, applicants only need to submit one application to the Project Conserve Program Director.


Program Director Contact Information: Amy Stout

projectconserve@carolinamountain.org

Carolina Mountain Land Conservancy

847 Case Street, Hendersonville, NC 28792




2015 – 2016 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 Associate

   Appalachian Voices AmeriCorps Education & Community Outreach

Associate



   Asheville GreenWorks AmeriCorps Pollinator Project Outreach

Coordinator



   Carolina Mountain Land Conservancy AmeriCorps Trails Associate

   Carolina Mountain Land Conservancy AmeriCorps Community Outreach Associate

   Carolina Mountain Land Conservancy AmeriCorps Stewardship Associate

   Environmental Quality Institute AmeriCorps Volunteer Coordinator

   Mills River Partnership AmeriCorps Watershed Outreach Associate

   Organic Growers School AmeriCorps Program & Outreach Coordinator

   Polk Co. Office of Agricultural Economic Dev’t AmeriCorps Farm Conservation Education &

Outreach Coordinator



   Polk Co. Office of Agricultural Economic Dev’t AmeriCorps Farm & Consumer Outreach Specialist

   RiverLink AmeriCorps Assistant Volunteer Coordinator

   RiverLink AmeriCorps Education Coordinator

   RiverLink AmeriCorps Watershed Resources Coordinator

   Southern Appalachian Highlands Conservancy AmeriCorps Land Protection & Education

Associate



   Southern Appalachian Highlands Conservancy AmeriCorps Conservation Education & Volunteer

Outreach Associate



   Southern Appalachian Highlands Conservancy AmeriCorps Stewardship & Volunteer Associate (2)



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.





AMERICORPS SERVICE



In the space below, describe any previous AmeriCorps service. In the reflection section, elaborate on why you decided to get involved and how you benefited from the service.

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:      


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.

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

Organization Name:       Location:      


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



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 09/01/15 to 07/31/16? 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? (i.e. specific website name, from a friend, etc.)      



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. Please describe your community service experience and how it has prepared you for an AmeriCorps position.

  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.






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