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Barnstable County AmeriCorps Cape Cod PO Box 427 3195 Main Street Barnstable, MA 02630 Phone: (508) 375-6869 Fax: (508) 375-6887 americorps@barnstablecounty.org www.americorpscapecod.org DATES AND DEADLINES: Deadline for all materials is June 22, 2016. Member Application Instructions 2016-2017 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, https://my.americorps.gov/mp/login.do 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 508-375-6872. 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 02630 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 Email 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.

Barnstable County AmeriCorps Cape Cod PO Box 427 3195 Main Street Barnstable, MA 02630 Phone: (508) 375-6869 Fax: (508) 375-6887 americorps@barnstablecounty.org www.americorpscapecod.org 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 emailed 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

Barnstable County AmeriCorps Cape Cod PO Box 427 3195 Main Street Barnstable, MA 02630 Phone: (508) 375-6869 Fax: (508) 375-6887 americorps@barnstablecounty.org www.americorpscapecod.org 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 9-2-2016 to 7-27-2017? 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?

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 http://www.americorpscapecod.org/join-us-2/apply/ 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

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. **

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?

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?

REFERENCES Please list three professional references (at least one supervisor): PROFESSIONAL Name City/State Telephone Email Relationship PROFESSIONAL Name City/State Telephone Email Relationship How long has this person known you? How long has this person known you? PROFESSIONAL Name City/State Telephone Email 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: