Member Application Instructions

Size: px
Start display at page:

Download "Member Application Instructions"

Transcription

1 Barnstable County AmeriCorps Cape Cod PO Box Main Street Barnstable, MA Phone: (508) Fax: (508) DATES AND DEADLINES: Deadline for all materials is June 22, Member Application Instructions Interviews will be offered to qualified applicants whose complete applications have been received before the deadline. Postmarks not considered. Interviews and position offers will be made on a rolling basis until all positions are filled. AMERICORPS CAPE COD APPLICATION PROCESS: All AmeriCorps Cape Cod member positions are funded annually contingent upon grant funds appropriated and awarded to the program by the Massachusetts Service Alliance and the Corporation for National and Community Service. Step One: My AmeriCorps Application Create an account on the My AmeriCorps website, Create a profile and fill out an application Search for the Barnstable County AmeriCorps Cape Cod listings and click the Apply Now button Step Two: AmeriCorps Cape Cod Supplemental Application and Housing Questionnaire Packet Find the Supplemental Application and Housing Questionnaire on the AmeriCorps Cape Cod website or contact Christin Marshall at cmarshall@barnstablecounty.org or Send the Supplemental Application with required supplemental documents listed below to the AmeriCorps Cape Cod Office: AmeriCorps Cape Cod, P.O. Box 427, Barnstable, MA o A Copy of your Birth Certificate, unexpired U.S. Passport, Permanent Resident or Alien Registration Card or Naturalization papers Please make sure you send only a COPY and that the copy is legible. o A Copy of your valid Driver s License Please make sure the copy is clear and legible. o College Transcript or proof of high school graduation and relevant experience Applicants who are currently or have recently attended college must submit a transcript. An unofficial transcript is acceptable. Applicants who have equivalent experience must submit verification of high school graduation and demonstrate relevant experience in the application. o Resume Include education, work experience, volunteer experience, internships/fellowships, and special skills **Please note your application is not complete until your electronic My AmeriCorps application and your Supplemental Application Packet have been received** You will be notified by or postal mail when our office receives your application. Applicants receiving a request for an interview will be contacted by phone to schedule an interview date and time. Interviews may be scheduled on site at the AmeriCorps office or conducted over the phone. AmeriCorps Cape Cod is committed to the inclusion of people with disabilities as members and provides reasonable accommodations for the application process, interviews and service upon request.

2 Barnstable County AmeriCorps Cape Cod PO Box Main Street Barnstable, MA Phone: (508) Fax: (508) SUPPLEMENTAL APPLICATION and HOUSING QUESTIONNAIRE AmeriCorps Cape Cod Application Instructions: 1. Apply to the Barnstable County AmeriCorps Cape Cod Listing(s) through the My AmeriCorps website. 2. Fill out and submit the AmeriCorps Cape Cod Supplemental Application and Housing Questionnaire. 3. Submit additional personal paperwork (see check-list below) Please use the checklist below as a guide to ensure you have included all the necessary paperwork in your application to the AmeriCorps Cape Cod Program. Your application is not complete until your electronic My AmeriCorps application AND your Supplemental Application has been received. Application material may be faxed, mailed, or scanned and ed to americorps@barnstablecounty.org. Electronic My AmeriCorps Application has been submitted to the AmeriCorps Cape Cod program Supplemental Application and Housing Questionnaire Please fill out the Supplemental Application and Housing Questionnaire completely and be sure to sign the last page. A Copy of your Birth Certificate, unexpired U.S. Passport, Permanent Resident OR Alien Registration Card or Naturalization papers Please make sure the copy is clear and legible. A Copy of your valid Driver s License Please make sure the copy is clear and legible. College Transcript or proof of high school graduation and relevant experience Applicants who are currently or have recently attended college must submit a transcript. An unofficial transcript is acceptable. Applicants who have equivalent experience must submit verification of high school graduation and demonstrate proof of relevant experience in the application. Resume Include education, work experience, volunteer experience, internships/fellowships, and special

3 Barnstable County AmeriCorps Cape Cod PO Box Main Street Barnstable, MA Phone: (508) Fax: (508) Name: Social Security # Date of Birth: Best phone number to reach you: APPLICATION SURVEY Please answer the following questions: How did you hear about AmeriCorps Cape Cod? Are you available from to ? Yes No Are you willing to live in a group residence? * Yes No *AmeriCorps Cape Cod residences cannot provide accommodations for spouses, partners, children, or any other persons who are not members of the program. Pets are not allowed in the residences. Drinking and smoking within the residence is prohibited. Do you have a reliable car to use for the duration of the program? Yes No If you are selected, are you willing to submit to FBI, criminal and sex offender Yes No background checks? Have you participated in an AmeriCorps program before? Yes No If yes : Program Name: Service Hours completed (approx.) Did you successfully complete your term of service? Did you receive an education award? Program Name: Service Hours completed (approx.) Did you successfully complete your term of service? Did you receive an education award?

4 MEMBER ROLES AND ESSAY QUESTIONS The AmeriCorps Cape Cod program is looking to fill several Member Roles within its program structure. The following table lists a brief description and several responsibilities for each available Member Role. Please review the table and decide which role or roles you would be most interested in serving in. In the space provided on the next page, check the role(s) that you are interested in and please answer the appropriate question for each role you have checked. Additional pages may be attached if needed. For a more in depth look at each position, detailed position descriptions can be found at ROLE DESCRIPTION RESPONSIBILITIES General Corps Member 26 positions available This is the program s general member position. Members will have the opportunity to participate in a variety of environmental, disaster preparedness and response, community education and volunteer projects. Seasonal and weekly variety of projects. General Service and Residential responsibilities including participation in group service, Individual Placement assignments, and community outreach, event planning, environmental education, disaster response, and volunteer recruitment. FireCorps Member 6 positions available The FireCorps positions focus on natural resource management goals, primarily by implementing wildland fire projects in Barnstable County. Corps members will serve on labor-intensive outdoor service projects working as part of a squad using a variety of hand and power tools to accomplish fuel reduction and prescribed burn activities. Projects highly focused on wildland fire management, little seasonal and weekly variety. Corps Members provide service to the Cape Cod community and environment in the areas of disaster preparedness/response and natural resource management through fire mitigation projects including, controlled burns, mechanical means of fire fuels reduction, and plot studies. Service will be physically demanding. Long service days may be required; temperatures are frequently extreme, both from weather and fire conditions. Daily use of power equipment (chainsaws, brushcutters, etc) is expected. Members will also be required to do community education and outreach at various times throughout the year. PLEASE NOTE: These roles indicate the general focus members will have during the program year. ALL members will participate in ALL aspects and focus areas of the program. Choosing one role on this application does not exclude you from being considered for other roles. Questions will be asked in the interview to assess interest. Role(s) you are applying for: Check all that apply General Corps Member (all applicants must apply and answer questions for General Corps) FireCorps Member

5 General Corps Member Questions (To be answered by ALL applicants) Describe your ability and experience working in a team. What environmental and/or disaster preparedness and response issue(s) are you personally interested in? What experience, if any, do you have in disaster preparedness and response? FireCorps Member Questions The FireCorps Program will be an intense, but rewarding service program. Based on the position description, do you feel as though you will be able to meet the physically demanding and high service expectations set forth by AmeriCorps Cape Cod and the Cape Cod National Seashore? Why? What experience do you have working in demanding and stressful situations? To qualify for the Fire Corp positions you MUST meet rigorous health and physical standards. Will this pose a problem for you? **If selected for service you must pass a government provided medical evaluation, successfully complete Wildland Fire Training, pass the Federal Wildland Firefighter Work Capacity Test at the arduous level, undergo a drug test and clear multiple background checks. Failure to pass/complete any of the above mentioned components will result in your inability to do the service necessary for this position and you will be released from the program. **

6 HOUSING QUESTIONNAIRE The Program Staff will use this questionnaire as an assessment of your ability and commitment to making a group living situation work. Answers will also help in choosing housing and roommate assignments. Please be honest; compatibility with your house/roommates will greatly affect your AmeriCorps Cape Cod experience. 1. Describe your experiences with group/communal living: 2. What are some of your goals and expectations in living as a member of a cooperative living household here on Cape Cod? 3. What do you consider to be crucial elements of a supportive and open residential community? 4. Describe what you are like as a housemate: 5. What do you look for in a congenial roommate relationship? 6. What are some of your interests and hobbies? HOUSING QUESTIONNAIRE continued. **Questions 7-16 are used to assign houses and roommate assignments. 7. a. Typically, my room is: [ ] Very clean (everything is neatly put away and organized) [ ] Somewhat messy (some clothes and papers on the floor/bed/dresser) [ ] Very messy (everything is everywhere) b. Would you mind living in a messy room?

7 8. When do you expect to go to bed during the service week? Before 10 p.m. [ ] 10 p.m. 12 a.m. [ ] After 12 a.m. [ ] 9. When do you like to wake up in the morning? Early (before 8 a.m.) [ ] Late (after 8 a.m.) [ ] 10. Are you a light or heavy sleeper? 11. a. Do you regularly snore or talk in your sleep? b. Would you mind sharing a room with someone who snores/talks in their sleep? 12. a. Do you smoke? b. Would you mind sharing a room with someone who smokes? NO SMOKING allowed in the residences 13. Storing and/or consuming alcoholic beverages is not allowed within the residences or on residence property, regardless of your age. This rule is strictly enforced. Will this present a problem for you? 14. Ideally, how many roommates would you prefer? (No single occupancy rooms are available) Double [ ] Triple [ ] Quad [ ] No Preference [ ] 15. If given the choice, would you rather live in the Bourne or Wellfleet residence? Why? 16. Because some individual placements correspond to particular residences, please indicate your interest for the following activities on a scale of 1-10 (where 1=no interest and 10=exceptional interest). The interest that you indicate for the following topics has no bearing on your selection for the program. Chainsaw Operation: Volunteer Engagement: Education: Research: Any additional comments you would like to make regarding your individual interests or housing preferences?

8 REFERENCES Please list three professional references (at least one supervisor): PROFESSIONAL Name City/State Telephone Relationship PROFESSIONAL Name City/State Telephone Relationship How long has this person known you? How long has this person known you? PROFESSIONAL Name City/State Telephone Relationship How long has this person known you? The Barnstable County AmeriCorps Cape Cod Program is administered and supervised by the County Resource Development Office and is an equal opportunity program. The program complies with all federal and Barnstable County nondiscrimination policies and regulations. No person shall be discriminated against on the basis of race, color, age, sexual orientation, national origin, gender or disability. AmeriCorps Cape Cod is committed to the inclusion of people with disabilities as members and provides reasonable accommodations for the application process, interviews and service upon request. All AmeriCorps Cape Cod member positions are funded annually contingent on grant funds appropriated and awarded to the program by the Massachusetts Service Alliance and the Corporation for National and Community Service. 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 my three listed references. Signature: Date:

Member Application

Member Application Member Application 2016-2017 First Name: Last Name: Address (at time of application): Phone: Alternate Phone: Best Time(s) to Reach You: E-mail: Instructions Please carefully complete the entire application

More information

Application for Admission

Application for Admission Dear Applicant, Application for Admission WELCOME Thank you for your interest in Year Up Professional Training Corps Philadelphia! Please read the following pages for important information about our application

More information

Pfeiffer University Department of Nursing Application to Undergraduate Upper Division Nursing Major

Pfeiffer University Department of Nursing Application to Undergraduate Upper Division Nursing Major Pfeiffer University Department of Nursing 2017 Application to Undergraduate Upper Division Nursing Major *Applicant: (Please print name) *Applications received or postmarked after February 1, 2017 will

More information

Teddy Forstmann Scholarship Program Application Instructions

Teddy Forstmann Scholarship Program Application Instructions 2015-2016 Application Instructions APPLICATION DEADLINE: FRIDAY, AUGUST 21, 2015,,. Applications postmarked AFTER this deadline may not be awarded. Please be sure to keep in contact regularly with your

More information

Lima and Ayacucho: Understanding Contemporary Peru Program Summer 2010 Acceptance Instructions

Lima and Ayacucho: Understanding Contemporary Peru Program Summer 2010 Acceptance Instructions Acceptance Instructions Congratulations on your acceptance to Boston University s summer program in Peru! This packet contains information specific to the summer program in Peru. INSTRUCTIONS In addition

More information

The following documents need to be submitted in addition to the attached application form:

The following documents need to be submitted in addition to the attached application form: If you have received the Single Parent Scholarship Fund of Van Buren County continuously for consecutive scholarship terms, you may reapply for our scholarship using this Renewal Scholarship Application.

More information

GENERAL ORDER DISTRICT OF COLUMBIA I. BACKGROUND

GENERAL ORDER DISTRICT OF COLUMBIA I. BACKGROUND GENERAL ORDER DISTRICT OF COLUMBIA Title Establishment of the Citizen Volunteer Corps Topic Series Number OMA 101 02 Effective Date January 20, 2016 Rescinds: GO-OMA-101.02 (Establishment Of The Citizen

More information

Fire Employment Application

Fire Employment Application North Dakota State University NORTH DAKOTA FOREST SERVICE Fire Employment Application Thank you for your interest in employment opportunities at the NDSU-North Dakota Forest Service. Please read the following

More information

UNITED ASSOCIATION SCHOLARSHIP APPLICATION APPLICATION INSTRUCTIONS

UNITED ASSOCIATION SCHOLARSHIP APPLICATION APPLICATION INSTRUCTIONS UNITED ASSOCIATION SCHOLARSHIP APPLICATION APPLICATION INSTRUCTIONS 1. Read all instructions and follow all directions completely. Incomplete applications will not be considered. 2. Applications must be

More information

PLAY Application Checklist

PLAY Application Checklist PLAY Application Checklist Use the following checklist to ensure you complete all steps before you submit your application. Incomplete applications cannot be accepted. Applicant Are You a Denver Resident?

More information

DOL H1B-Gulf Coast Ready To Work Petrochem Grant

DOL H1B-Gulf Coast Ready To Work Petrochem Grant FREE TRAINING DOL H1B-Gulf Coast Ready To Work Petrochem Grant CAREER SUPPORT SERVICES Upcoming courses will include: PAID INTERNSHIPS Welding Project Management Professional Pipefitting Lean Six Sigma

More information

DOL H1B-Gulf Coast Ready To Work Petrochem Grant

DOL H1B-Gulf Coast Ready To Work Petrochem Grant DOL H1B-Gulf Coast Ready To Work Petrochem Grant FREE TRAINING CAREER SUPPORT SERVICES Upcoming courses will include: NCCER Welding NCCER Pipefitting Engineering Design Graphics Non-Destructive Testing

More information

Kirkland & Ellis New York City Public Service Fellowships at New York University School of Law and Columbia Law School

Kirkland & Ellis New York City Public Service Fellowships at New York University School of Law and Columbia Law School PERSONAL ESSAYS 1. State briefly the proposed goals of the public service project you wish to pursue as a Kirkland & Ellis Fellow. Please include in this statement a discussion of the short-term and long-term

More information

CARING Experts ADVANCED Technology HEALTHIER Lives

CARING Experts ADVANCED Technology HEALTHIER Lives P CARING Experts ADVANCED Technology HEALTHIER Lives Complete & Return this form APPLICATION Adult Date: College Student VOLUNTEER High School Student Name First Middle Last Home Phone Street Address Cellular

More information

Recovery Housing Program Agreement

Recovery Housing Program Agreement Recovery Housing Program Agreement I have made the personal choice to live in a Recovery Residence provided by the Hancock County Alcohol, Drug Addiction, and Mental Health Services Board. I am seeking

More information

AmeriCorps Service Application

AmeriCorps Service Application Phone: (304) 342-7850 Toll Free: 1 (866) 314-KIDS Fax: (304) 3420046 803 Quarrier Street, Suite 500 Charleston, W.Va. 25331 www.educationalliance.org AmeriCorps Service Application Thank you for your interest

More information

MILLERS COLLEGE OF NURSING

MILLERS COLLEGE OF NURSING Congratulations on your decision to pursue your degree in nursing. The Millers College of Nursing offers a career pathway to meet the needs of individuals who are interested in obtaining the baccalaureate

More information

2018 SCHOLARSHIP APPLICATION Military Spouse

2018 SCHOLARSHIP APPLICATION Military Spouse ELIGIBILITY: 2018 SCHOLARSHIP APPLICATION Military Spouse To be eligible for this scholarship program you must meet the following criteria: 1) Applicant must be the spouse of an Active Duty Navy, Marine

More information

FREE TRAINING CAREER SUPPORT SERVICES

FREE TRAINING CAREER SUPPORT SERVICES DOL H-1B Ready To W ork Grant FREE TRAINING CAREER SUPPORT SERVICES Upcoming Courses Will Include: Pr Funding for TWIC card is available Participating Partner CollegesTrainings Offered: CC RCrafts Project

More information

UCSD Staff Association Career Experience for High School Students June 23- August 15, 2014 (eight weeks)

UCSD Staff Association Career Experience for High School Students June 23- August 15, 2014 (eight weeks) UCSD Staff Association Career Experience for High School Students June 23- August 15, 2014 (eight weeks) Program Description: The UCSD Career Experience for High School Students program, a part of the

More information

2016 GFWC Success for Survivors Scholarship

2016 GFWC Success for Survivors Scholarship The General Federation of Women s Clubs is a national leader in the fight to end domestic violence. To emphasize our dedication in tackling this societal issue, GFWC implemented the Success for in 2011.

More information

City: County: State: ZIP: Freshman Sophomore Junior Senior Master s Level Technical School Student

City: County: State: ZIP: Freshman Sophomore Junior Senior Master s Level Technical School Student College Scholarship Application 2018-2019 ILLINOIS SHERIFFS ASSOCIATION Deadline: March 15, 2018 Please mail applications to the Sheriff s office in the county where you reside- a directory can be found

More information

SHAWNEE COMMUNITY COLLEGE ULLIN, ILLINOIS ADMISSION PACKET

SHAWNEE COMMUNITY COLLEGE ULLIN, ILLINOIS ADMISSION PACKET SHAWNEE COMMUNITY COLLEGE ULLIN, ILLINOIS 62992 ADMISSION PACKET LETTER AND ADMISSION PROCEDURE FOR ASSOCIATE DEGREE NURSING PROGRAM COMPLETED APPLICATIONS FOR THE 2018 ASSOCIATE DEGREE NURSING PROGRAM

More information

Southeastern Arizona Contractors Association Scholarship Program Application

Southeastern Arizona Contractors Association Scholarship Program Application Southeastern Arizona Contractors Association Scholarship Program Application WHO MAY APPLY? You must have a high school diploma with a GPA of 3.0 or better, or a GED with a minimum score of 450 per section.

More information

SHAWNEE COMMUNITY COLLEGE ULLIN, ILLINOIS ADMISSION PACKET

SHAWNEE COMMUNITY COLLEGE ULLIN, ILLINOIS ADMISSION PACKET SHAWNEE COMMUNITY COLLEGE ULLIN, ILLINOIS 62992 ADMISSION PACKET LETTER AND ADMISSION PROCEDURE FOR PRACTICAL NURSING PROGRAM. COMPLETED APPLICATIONS FOR THE FALL 2018 PRACTICAL NURSING PROGRAM CAN BE

More information

Jump Start Fellowship Program

Jump Start Fellowship Program Jump Start Fellowship Program March 5, 2018 May 25, 2018 Jump Start is a full-time (40 hours/week) 12 week program that provides education and training on the principles of psychosocial rehabilitation

More information

NABA Jacksonville SCHOLARSHIP PROGRAM

NABA Jacksonville SCHOLARSHIP PROGRAM National Association of Black Accountants, Inc. Jacksonville Professional Chapter PO Box 40645, Jacksonville, Florida 32203 Local Phone: (904) 355-1111 Toll Free: 1-866-400-NABA nabajax@nabajax.org www.nabajax.org

More information

VOLUNTEER APPLICATION

VOLUNTEER APPLICATION VOLUNTEER APPLICATION Dear Applicant: Thank you for your interest in the Volunteer Program at the Kaiser Permanente Antelope Valley Medical Offices. We welcome interested and enthusiastic people of all

More information

Kaiser Permanente Northwest KP YEAH!

Kaiser Permanente Northwest KP YEAH! Kaiser Permanente Youth Exploration Academy in Healthcare (KP YEAH!) Application Overview KP Youth Exploration Academy in Healthcare (KP YEAH!) is a paid, four week-long, interactive exploration program

More information

Re-entry to the spring 2019 semester of the Level II Nursing Core Course Re-entry to the fall 2018 semester of the Level II Nursing Core Courses

Re-entry to the spring 2019 semester of the Level II Nursing Core Course Re-entry to the fall 2018 semester of the Level II Nursing Core Courses (Office Use-date received) Eastern New Mexico University - Roswell REVIEW APPLICATION FOR ENTRY OR RE-ENTRY INTO LEVEL II NURSING CORE COURSES Please ensure handwriting is legible, email and cell number

More information

Wayzata Fire Department 600 East Rice Street Wayzata, Minnesota (952)

Wayzata Fire Department 600 East Rice Street Wayzata, Minnesota (952) Wayzata Fire Department 600 East Rice Street Wayzata, Minnesota 55391 (952) 404-5337 Dear Prospective Applicant, Thank you for inquiring about joining our Fire Department. We appreciate your interest in

More information

IT 3 Grant Funding FREE!! TRAINING AND CERTIFICATION EXAMS IT 3 SCHOLARS RECEIVE THE FOLLOWING:

IT 3 Grant Funding FREE!! TRAINING AND CERTIFICATION EXAMS IT 3 SCHOLARS RECEIVE THE FOLLOWING: IT 3 Grant Funding BECOME AN IT 3 SCHOLAR BEFORE IT S TOO LATE!!! FREE!! TRAINING AND CERTIFICATION EXAMS IT 3 SCHOLARS RECEIVE THE FOLLOWING: UP TO 2 CLASSES & 2 CERTIFICATION EXAMS PAID FOR BY THE IT

More information

SIS Enrollment Checklist

SIS Enrollment Checklist SIS Enrollment Checklist 2011-2012 Member name: Institution: Date of In-Person Orientation: Official enrollment date begins no earlier than the day a member passes in a complete enrollment package (all

More information

SHAWNEE COMMUNITY COLLEGE ULLIN, ILLINOIS ADMISSION PACKET

SHAWNEE COMMUNITY COLLEGE ULLIN, ILLINOIS ADMISSION PACKET SHAWNEE COMMUNITY COLLEGE ULLIN, ILLINOIS 62992 ADMISSION PACKET LETTER AND ADMISSION PROCEDURE FOR ASSOCIATE DEGREE NURSING PROGRAM COMPLETED APPLICATIONS FOR THE 2017 ADN PROGRAM CAN BE SUBMITTED TO

More information

Alabaster Legacy Scholarships Emerging Leader Network Scholarship

Alabaster Legacy Scholarships Emerging Leader Network Scholarship Alabaster Legacy Scholarships Scholarship Deadline May 1, 2017 Alabaster Legacy Scholarships The intent of this award is to encourage young women who are in pursuit of an education in preparation for vocational

More information

DOL H1B IT 3 Grant Funding FREE!! TRAINING AND CERTIFICATION EXAMS IT 3 SCHOLARS RECEIVE THE FOLLOWING:

DOL H1B IT 3 Grant Funding FREE!! TRAINING AND CERTIFICATION EXAMS IT 3 SCHOLARS RECEIVE THE FOLLOWING: IT 3 Grant Funding FREE!! TRAINING AND CERTIFICATION EXAMS SAP - Human Resources SAP - Materials Management Ethical Hacking & Pen Testing Cloud Computing ITIL Bootcamp Network+ Bootcamp BECOME AN IT 3

More information

Alabaster Legacy Scholarships Bible College Scholarship

Alabaster Legacy Scholarships Bible College Scholarship Scholarship Deadline May 1, 2018 Women in Leadership The intent of this award is to empower women by providing funds for continued ministerial education. The goal of Women in Leadership is to enhance the

More information

Summer Executive & Explore Internship (SEI) Program

Summer Executive & Explore Internship (SEI) Program Summer Executive & Explore Internship (SEI) Program William A. Bell, Sr., Mayor S P O N S O R E D BY: PROGRAM OVERVIEW The SEI Component of Kids & Jobs consists of an Executive Program and an Explorer

More information

** Clinical Training Requirements Checklist for Conditionally Accepted EMS Students**

** Clinical Training Requirements Checklist for Conditionally Accepted EMS Students** 1 ** Clinical Training Requirements Checklist for Conditionally Accepted 2017-18 EMS Students** The following checklist outlines required documentation for conditionally accepted 2016-17 EMS and Paramedic

More information

The Williams African American Business Resource Group of Williams Seeks Applications for the Cuba Wadlington, Jr. and Michael P. Johnson Scholarship

The Williams African American Business Resource Group of Williams Seeks Applications for the Cuba Wadlington, Jr. and Michael P. Johnson Scholarship The Williams African American Business Resource Group of Williams Seeks Applications for the Cuba Wadlington, Jr. and Michael P. Johnson Scholarship The Williams African American Business Resource Group

More information

ATSU-Still Research Institute Clinical Researcher Development Program

ATSU-Still Research Institute Clinical Researcher Development Program ATSU-Still Research Institute Clinical Researcher Development Program Application Guidelines: The A.T. Still Research Institute s Clinical Researcher Development Program has two research tracks: one during

More information

SHAWNEE COMMUNITY COLLEGE ULLIN, ILLINOIS ADMISSION PACKET

SHAWNEE COMMUNITY COLLEGE ULLIN, ILLINOIS ADMISSION PACKET SHAWNEE COMMUNITY COLLEGE ULLIN, ILLINOIS 62992 ADMISSION PACKET LETTER AND ADMISSION PROCEDURE FOR PRACTICAL NURSING PROGRAM. COMPLETED APPLICATIONS FOR THE FALL 2016 PRACTICAL NURSING PROGRAM CAN BE

More information

VOLUNTEER APPLICATION

VOLUNTEER APPLICATION Piedmont CASA, Inc. 818 E. High Street Charlottesville, VA 22902 Phone: 434-971-7515 Fax: 434-971-3060 VOLUNTEER APPLICATION Date: First Name: Last Name: Address: City: State: Zip: Home Phone #: Cell #:

More information

Candidates failing to include ALL required documentation will be disqualified.

Candidates failing to include ALL required documentation will be disqualified. To All Police Officer Candidates: Thank you for your interest in employment with the City of South St. Paul! We anticipate hiring two officers immediately with additional opening(s) occurring during the

More information

California Student Aid Commission

California Student Aid Commission 2009-10 Cal Grant GPA Calculation Instructions To apply for a Cal Grant award, the (CSAC) requires the receipt of two separate documents. Applicants must submit a 2009-10 Free Application for Federal Student

More information

Kaiser Permanente Youth Exploration Academy in Healthcare (KP YEAH!)

Kaiser Permanente Youth Exploration Academy in Healthcare (KP YEAH!) Kaiser Permanente Youth Exploration Academy in Healthcare (KP YEAH!) APPLICATION OVERVIEW KP Youth Exploration Academy in Healthcare (KP YEAH!) is a paid, 4 week-long, interactive exploration program for

More information

P A G E G R A N T APPLICATION

P A G E G R A N T APPLICATION P A G E G R A N T APPLICATION 2017-2018 Due: May 1, 2017 Mail completed applications to: P.O. Box 581254, Minneapolis, MN 55458 www.page-ed.org PAGE EDUCATION FOUNDATION www.page-ed.org 2017-2018 Page

More information

HOUSING REQUEST COVER SHEET

HOUSING REQUEST COVER SHEET HOUSING REQUEST COVER SHEET REQUIRED DOCUMENTS FOR HOUSING REQUEST. ALL MUST BE SUBMITTED. FORM Housing Application DEERS Application DD 1172 Registered Sex Offender Policy Privacy Act release form Pet

More information

Strengthen You and Your Community: Volunteer Today!

Strengthen You and Your Community: Volunteer Today! Mason County SAFER Grant Program P.O. Box 277 * NE 460 Old Belfair Hwy * Belfair, WA 98528 (360)275-6711 ext. 7 * (360)801-0590 Fax: (360)275-6224 Email: Volunteer Coordinator Tina Miller at tmiller@northmasonrfa.com

More information

TWUMC APPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONAIRE All questions must be answered completely with or without a resume.

TWUMC APPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONAIRE All questions must be answered completely with or without a resume. TWUMC APPLICATION FOR EMPLOYMENT PRE-EMPLOYMENT QUESTIONAIRE All questions must be answered completely with or without a resume. Applicant Information Position Applied For: Are you employed now? Yes (

More information

Volunteer Team-Builder and Donation Drive Resource Guide

Volunteer Team-Builder and Donation Drive Resource Guide Volunteer Team-Builder and Donation Drive Resource Guide See what s inside: Checklists Project Guidelines Required Sign-In Form Volunteer Team-Builder Event Information Template Page 1 of 7 rev. 03/30/17

More information

Peoria Heights Fire Department. Membership Application Packet

Peoria Heights Fire Department. Membership Application Packet Peoria Heights Fire Department Membership Application Packet Please turn in all completed applications in a sealed envelope to the Village Administration office during normal business hours, or mail to

More information

Women in Wildland Fire Bootcamp

Women in Wildland Fire Bootcamp U.S. Forest Service Southwestern Region Fire and Aviation Management OUTREACH NOTICE Women in Wildland Fire Bootcamp Response Deadline for AZ & NM: February 8, 2013 Selected NM applicants will be notified

More information

OKANOGAN COUNTY. Comprehensive Emergency Management Plan EMERGENCY SUPPORT FUNCTION 9 SEARCH AND RESCUE

OKANOGAN COUNTY. Comprehensive Emergency Management Plan EMERGENCY SUPPORT FUNCTION 9 SEARCH AND RESCUE OKANOGAN COUNTY Comprehensive Emergency Management Plan EMERGENCY SUPPORT FUNCTION 9 SEARCH AND RESCUE RESPONSIBILITY SUMMARY: Primary Response Okanogan County Sheriff s Office Search and Rescue Coordinator

More information

Community Service Scholarship in Memory of Juana Osorio Criteria and Requirements

Community Service Scholarship in Memory of Juana Osorio Criteria and Requirements Community Service Scholarship in Memory of Juana Osorio Criteria and Requirements 1. Applicant must be a senior in high school in the Merrimack Valley Area who exemplifies community service and plans to

More information

Peace Keepers Scholarship Application (Law Enforcement or Military Dependents only) Deadline June 30, 2018

Peace Keepers Scholarship Application (Law Enforcement or Military Dependents only) Deadline June 30, 2018 2018-2019 Peace Keepers Scholarship Application (Law Enforcement or Military Dependents only) Deadline June 30, 2018 Please type or print your answers. If application is illegible it will be returned to

More information

Delta Sigma Theta Sorority, Inc. Solano Valley Alumnae Chapter A Public Service Sorority XANTHIA WARREN SCHOLARSHIP APPLICATION

Delta Sigma Theta Sorority, Inc. Solano Valley Alumnae Chapter A Public Service Sorority XANTHIA WARREN SCHOLARSHIP APPLICATION Delta Sigma Theta Sorority, Inc. A Public Service Sorority XANTHIA WARREN SCHOLARSHIP APPLICATION Please complete and return to: Delta Sigma Theta Sorority, Inc. Attention: Scholarship Committee P.O. Box

More information

UNITED STATES ARMY INTELLIGENCE AND SECURITY COMMAND

UNITED STATES ARMY INTELLIGENCE AND SECURITY COMMAND UNITED STATES ARMY INTELLIGENCE AND SECURITY COMMAND **APPLICATIONS WILL ONLY BE ACCEPTED DURING THE CAREER FAIR** ANNOUNCEMENT NUMBER: INSCOM-JF-G2-0056 JOB TITLE: Supervisory Security Specialist SERIES

More information

The Children of Valor Scholarship

The Children of Valor Scholarship Wives of Armor We Are the Wives of Law Enforcement P.O. Box 1887, Russellville, AR 72811 wivesofarmor@yahoo.com www.wivesofarmor.org The Children of Valor Scholarship Scholarship Description The Wives

More information

JONES COUNTY JUNIOR COLLEGE ASSOCIATE DEGREE NURSING PROGRAM 900 S. Court Street - Ellisville, MS 39437

JONES COUNTY JUNIOR COLLEGE ASSOCIATE DEGREE NURSING PROGRAM 900 S. Court Street - Ellisville, MS 39437 JONES COUNTY JUNIOR COLLEGE ASSOCIATE DEGREE NURSING PROGRAM 900 S. Court Street - Ellisville, MS 39437 APPLICATION FOR LPN TO RN ADVANCED PLACEMENT OPTION FALL 2018 DEADLINE MARCH 1, 2018 PLEASE READ

More information

GLYNN COUNTY SHERIFF S OFFICE IS AN EQUAL OPPORTUNITY EMPLOYER

GLYNN COUNTY SHERIFF S OFFICE IS AN EQUAL OPPORTUNITY EMPLOYER 100 Sulphur Springs Road Brunswick, GA 31520 Telephone: (912) 554-7600 Web Page Address: www.glynncountysheriff.org INSTRUCTIONS AND INFORMATION PLEASE READ CAREFULLY BEFORE BEGINNING 1. Please complete

More information

Assistance League of Charlotte Scholarship

Assistance League of Charlotte Scholarship Assistance League of Charlotte Scholarship APPLICATION FORM FOR 2016-2017 Assistance League of Charlotte is a nonprofit volunteer organization dedicated to improving the lives of children and families

More information

Coaches Code of Conduct

Coaches Code of Conduct Coaches Code of Conduct As a coach in Southern Connecticut Pop Warner I understand that there are certain rules and conduct standards that I must follow at all times. I understand my failure to abide by

More information

Two-year Associate Degree Nursing (ADN) Program RN Applicant Checklist

Two-year Associate Degree Nursing (ADN) Program RN Applicant Checklist Two-year Associate Degree Nursing (ADN) Program RN Applicant Checklist Application Deadline: March 1, 2018 to be considered for the two-year ADN program in Fall 2018. All admission requirements must be

More information

Dear Applicant, Upon receiving your completed application, you will be notified of your status within two weeks.

Dear Applicant, Upon receiving your completed application, you will be notified of your status within two weeks. Dear Applicant, Thank your taking the time to apply to FreedomWorks. Please follow the instructions below. Be sure to completely fill out the application and all other supportive documents. Please review

More information

Application for Employment. An Equal Opportunity Employer

Application for Employment. An Equal Opportunity Employer Application for Employment (Please print clearly) An Equal Opportunity Employer Our practice does not discriminate on the basis of race, religion, natural origin, color, sex, age, veteran status, disability,

More information

Ruby A. Robinson Scholarship Program

Ruby A. Robinson Scholarship Program The provides educational funds Amount: Argent Credit Union offers up to two $2,500 accompany the Application. (GPA calculations will Applicant must be a member of Argent from the school in a sealed, stamped

More information

2016 REGIONAL TRANSPORTATION PLAN. Technical Appendix L: Title VI/ Nondiscrimination Program

2016 REGIONAL TRANSPORTATION PLAN. Technical Appendix L: Title VI/ Nondiscrimination Program 2016 REGIONAL TRANSPORTATION PLAN Technical Appendix L: Title VI/ Nondiscrimination Program Draft June 15, 2015 INTENTIONAL BLANK PAGE Table of Contents Title VI... 1 Environmental Justice... 2 Public

More information

Syria Archaeological Field School Summer 2010 Acceptance Instructions

Syria Archaeological Field School Summer 2010 Acceptance Instructions Acceptance Instructions Congratulations on your acceptance to Boston University s Syria Archaeological Field School summer program! We are looking forward to your participation. The attached packet contains

More information

Diploma of Social Work Program

Diploma of Social Work Program Diploma of Social Work Program APPLICATION Tansi, Thank you for your interest in the Diploma of Social Work Program at University nuhelot i ne thaiyots i nistameyimâkanak Blue Quills. This two year educational

More information

2016 Scholarship Application Malmstrom Spouses' Club. Application Instructions

2016 Scholarship Application Malmstrom Spouses' Club. Application Instructions 2016 Scholarship Application Malmstrom Spouses' Club Application Instructions Criteria, Eligibility, Limitations, and Instructions Every year, The Malmstrom Spouses Club (MSC) awards scholarships to outstanding

More information

VOLUNTEER APPLICATION

VOLUNTEER APPLICATION Thank you for your interest in Estes Park Medical Center. The mission of the Estes Park Medical Center is to make a positive difference in the health and wellbeing of all we serve. VOLUNTEER APPLICATION

More information

NURSING HOME ADMINISTRATOR REQUIREMENTS AND INSTRUCTIONS

NURSING HOME ADMINISTRATOR REQUIREMENTS AND INSTRUCTIONS South Carolina Department of Labor, Licensing and Regulation South Carolina Board of Long Term Health Care Administrators 110 Centerview Dr. Columbia SC 29210 P.O. Box 11329 Columbia SC 29211-1329 Phone:

More information

Tuckahoe Volunteer Rescue Squad Membership Application Process

Tuckahoe Volunteer Rescue Squad Membership Application Process Membership Application Process Joining Tuckahoe Volunteer Rescue Squad is easy! All you need to do is complete these few simple steps of the Application Process. Keep this page for your reference and as

More information

The Dr. T. Ray Ruffin Scholarship

The Dr. T. Ray Ruffin Scholarship Dr. T. Ray Ruffin Scholarship Application Page 1 The Dr. T. Ray Ruffin Scholarship Presented and awarded in partnership with Everlasting Life Christian Church 2017 SCHOLARSHIP APPLICATION AND INSTRUCTIONS

More information

BRCC TRADITIONAL FULL TIME NURSING CLINICAL COMPONENT APPLICATION PACKET

BRCC TRADITIONAL FULL TIME NURSING CLINICAL COMPONENT APPLICATION PACKET BRCC TRADITIONAL FULL TIME NURSING CLINICAL COMPONENT APPLICATION PACKET The primary criteria for competitive selection into the clinical nursing component includes, but will not be limited to, nursing

More information

In addition to meeting the above criteria, the following documentation will be required:

In addition to meeting the above criteria, the following documentation will be required: Replace With Company Logo Here. ABC Home Care Services Address City, ST 98765 : (333) 444-5678 www.abchomecare.com Thank you for your interest in ABC Home Care Services. ABC Home Care Services provides

More information

2018 CAMP Registration Packet. Boyertown YMCA PHILADELPHIA FREEDOM VALLEY YMCA

2018 CAMP Registration Packet. Boyertown YMCA PHILADELPHIA FREEDOM VALLEY YMCA 2018 CAMP Registration Packet Boyertown YMCA PHILADELPHIA FREEDOM VALLEY YMCA 1 Camp Registration Procedures 1. The entire camp registration packet minus the (optional) Request for Modification and Diabetes

More information

Fox Chapel Area School District School Volunteer Manual

Fox Chapel Area School District School Volunteer Manual Fox Chapel Area School District School Volunteer Manual Manual includes school volunteer application and directions for completing the required clearances. Fox Chapel Area School District greatly appreciates

More information

COMPEER PROGRAM VOLUNTEER APPLICATION

COMPEER PROGRAM VOLUNTEER APPLICATION Spreading Hope, Spurring Action, Supporting Families, Saving Lives! COMPEER PROGRAM VOLUNTEER APPLICATION 3701 Latrobe Drive, Suite 140 Charlotte, NC 28211 Phone 704.365.3454 Fax 704.365.9973 Revised 7/13/2017

More information

*2013* VIRGINIA ADVISORY COUNCIL ON MILITARY EDUCATION (VA-ACME) SCHOLARSHIP PROGRAM

*2013* VIRGINIA ADVISORY COUNCIL ON MILITARY EDUCATION (VA-ACME) SCHOLARSHIP PROGRAM *2013* VIRGINIA ADVISORY COUNCIL ON MILITARY EDUCATION (VA-ACME) SCHOLARSHIP PROGRAM www.vaacme.org VA-ACME will award multiple $1,000 scholarships at its VA-ACME Conference on March 28, 2013 at the Hilton

More information

MIDLAND JUDICIAL DISTRICT COMMUNITY SUPERVISION AND CORRECTIONS DEPARTMENT 200 N. Main P.O. Box 3038 Midland, TX Fax:

MIDLAND JUDICIAL DISTRICT COMMUNITY SUPERVISION AND CORRECTIONS DEPARTMENT 200 N. Main P.O. Box 3038 Midland, TX Fax: MIDLAND JUDICIAL DISTRICT COMMUNITY SUPERVISION AND CORRECTIONS DEPARTMENT 200 N. Main P.O. Box 3038 Midland, TX 79702 432-688-4100 Fax: 432-688-4952 APPLICATION FOR EMPLOYMENT PRINT NEATLY OR TYPE. Fill

More information

An introduction to the workforce and a chance to explore one of the pre-identified work sites. Completed Explorer Program Application

An introduction to the workforce and a chance to explore one of the pre-identified work sites. Completed Explorer Program Application 2018 Kids & Jobs Program Randall L. Woodfin, Mayor Putting People First S P O N S O R E D BY: Summer Executive & Explorer Internship (SEI) Program PROGRAM OVERVIEW The SEI Component of Kids & Jobs consists

More information

City of Tomah Tomah Area Ambulance Service Employment Application

City of Tomah Tomah Area Ambulance Service Employment Application City of Tomah Tomah Area Ambulance Service Employment Application EMT Advanced EMT Paramedic Check Licensure Level Please complete this application if you wish to apply for employment with the City of

More information

Scholarship Program Guidelines

Scholarship Program Guidelines Page 1 Scholarship Program Guidelines Fred Griffin, Jr., announces the 2018 Fred Griffin, Jr. Scholarship Awards Program. A $500 scholarship will be awarded to four graduating seniors attending a high

More information

TRANSFER PROGRAM APPLICATION AND ADMISSION INFORMATION

TRANSFER PROGRAM APPLICATION AND ADMISSION INFORMATION Department of Nursing 2088 North Beale Road Marysville CA 95901 (530) 741-6784 http://nursing.yccd.edu TRANSFER PROGRAM APPLICATION AND ADMISSION INFORMATION Yuba College offers a full-time Associate Degree

More information

2018 APPLICATION ABOUT THE INTERNSHIP

2018 APPLICATION ABOUT THE INTERNSHIP ABOUT THE INTERNSHIP The CAUSE Leadership Academy (CLA), is a nine-week paid internship program for college undergraduates that prepares the next generation to lead and represent the Asian Pacific American

More information

2016 LPN Advanced Placement Application. For Fall 2017 Entry, Second Year, Nursing Program

2016 LPN Advanced Placement Application. For Fall 2017 Entry, Second Year, Nursing Program Umpqua Community College 2016 LPN Advanced Placement Application For Fall 2017 Entry, Second Year, Nursing Program Please email roger.sanchez@umpqua.edu to reserve a seat for the required Elsevier s HESI

More information

Employment is contingent upon completing a six (6) month probationary period.

Employment is contingent upon completing a six (6) month probationary period. Date All information on this application should be printed or typed. Complete or answer all questions. Incomplete applications may not be considered. Return completed application to: Chesapeake Bay Bridge

More information

The Teaching Kitchen Application Process and Materials

The Teaching Kitchen Application Process and Materials The Teaching Kitchen Application Process and Materials 1. Submit all Application Materials Application Form Please complete carefully and include professional references Employment Eligibility Verification

More information

Application for Employment

Application for Employment Human Resources Department Utility Board of the City of Key West Keys Energy Services P.O. Box 6100 Key West, FL 33040 Phone (305) 295-1069 www.keysenergy.com Application for Employment Please print clearly

More information

THE HUMANITARIAN, INC. Creating Vision Through Mentoring

THE HUMANITARIAN, INC. Creating Vision Through Mentoring THE HUMANITARIAN, INC. Creating Vision Through Mentoring Mentor Interest Survey Name: Date: Please complete all the following. This survey will help The Humanitarian, Inc. Mentoring Program know more about

More information

Community Emergency Response Team (CERT) Volunteer Application Douglas County Citizen Corps Council Douglas County Sheriff s Office

Community Emergency Response Team (CERT) Volunteer Application Douglas County Citizen Corps Council Douglas County Sheriff s Office Community Emergency Response Team (CERT) Volunteer Application Douglas County Citizen Corps Council Douglas County Sheriff s Office PLEASE TYPE OR PRINT FULLY ANSWER ALL QUESTIONS USE INK ONLY An Incomplete

More information

Greenway Protective Services, Inc.

Greenway Protective Services, Inc. Greenway Protective Services, Inc. COLLECTION CENTER ATTENDANT Greenway Protective Services is the contractor that provides staff for Chatham County s 12 Collection Centers for trash and recycling. We

More information

BRCC LPN-RN NURSING CLINICAL COMPONENT APPLICATION PACKET

BRCC LPN-RN NURSING CLINICAL COMPONENT APPLICATION PACKET BRCC LPN-RN NURSING CLINICAL COMPONENT APPLICATION PACKET Admission to the clinical portion of the Nursing Program will be selective and competitive. Applicants are advised that prior registration in BRCC

More information

The Constitution of the Purdue Women s Water Polo Club

The Constitution of the Purdue Women s Water Polo Club Last updated: 01/20/2015 The Constitution of the Purdue Women s Water Polo Club Table of Contents Mission Statement Article I: Name and Affiliation Article II: Purpose Article III: Membership Section 1:

More information

ADMISSION POLICY FOR ASSOCIATE DEGREE NURSING PROGRAM APPLICANTS

ADMISSION POLICY FOR ASSOCIATE DEGREE NURSING PROGRAM APPLICANTS ADMISSION POLICY FOR ASSOCIATE DEGREE NURSING PROGRAM APPLICANTS Responsible Administrative Officer: Associate Degree Nursing Program Director Date Issued: November 6, 2012 Date Last Review/Revised: January

More information

Volunteer Application and Placement Process

Volunteer Application and Placement Process Volunteer Application and Placement Process Thank you for your interest in volunteering at University of Colorado Hospital. Volunteers play an important and meaningful role in providing amazing service

More information

Access Communications Scholarship

Access Communications Scholarship Access Communications Scholarship ABOUT ACCESS Access Communications is a 100% Saskatchewan-owned non-profit co-operative that is committed to providing exceptional communications and entertainment services.

More information

Maximum Independence Scholarship

Maximum Independence Scholarship Maximum Independence Scholarship Recognizing the ever increasing need for financial assistance to help defray the cost of higher education, Goodwill Industries of Southwest Oklahoma and North Texas, Inc.

More information