Greenagers AmeriCorps Member Application

We are thrilled that you have decided to apply to be a Greenagers AmeriCorps member. Before filling out the application, please re-read the Position Description. The application includes five sections: 1) Contact Information; 2) Demographics; 3) Eligibility; 4) Interest and Experience; and 5) Additional Information.

The additional information section requires a resume and two references.

Please note: it is not possible to save and return to the application.

Greenagers prohibits all forms of discrimination and harassment based on race, color, national origin, gender/gender identity or expression, age, religion, sexual orientation, disability, political affiliation, marital or parental status, genetic information, military service.

Greenagers Americorps Member Application

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Contact Information

Name *

First

Last

Email *

Phone *

Please be sure to include your 3-digit area code.

Current Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

How did you hear about us?

• Social media
• Internet Search
• Advertisement
• Word of Mouth
• Other

Providing demographic information is completely optional and has no impact on your application. This information will only be shared with Greenagers staff. Collecting this information informs the support structures and programming we develop and helps us identify new initiatives we may want to implement in the future. We do our best work when we can accommodate and effectively support the members we serve. Greenagers is committed to diversity and inclusion. We believe that honoring all identities and including diverse voices in decision-making and leadership strengthens our community. We are committed to dismantling systems of oppression through our work.

Demographics

Are you the first person in your family to attend college?YesNoI don't know

Are you the first person in your family to graduate from high school?YesNoI don't know

Did you grow up in a low-income community?YesNoI don't know

Race and Ethnicity

• American Indian or Alaska Native
• Asian
• Black or African American
• Hispanic or Latino
• Middle Eastern or North African
• Native Hawaiian or Pacific Islander
• White

What are your preferred pronouns?

What is your first language?

What other languages (if any) are your proficient in?

As a federally funded Americorps program, Greenagers has basic eligibility criteria. The following criteria are required by AmeriCorps for all Americorps service members. 1. Be at least 18 years old 2. Pass a National Service Criminal History Check (NSCHC) 3. Be a US Citizen, national, or lawful permanent resident of the United States 4. Must have a High School diploma or equivalent. These questions inquire further about your ability to serve.

Program Eligibility

Citizenship *

*Please note, if you do not hold one of the statuses listed above, you unfortunately may not be eligible for the program based on AmeriCorps program guidelines. If you have questions, please email Elia Del Molino, elia@greenagers.org.

• I am a citizen of the United States
• I am a national of the United States
• I am a legal permanent resident of the United States
• I have been granted deferred action for childhood arrivals and have also obtained employment authorization

Did you graduate from high school? *YesNo

Birthday *

High School Name *

Graduation Month and Year *

When will you complete all of the coursework necessary for your GED or diploma?

Have you attended college or university? *YesNo

Share the highest level of education you have/will have achieved prior to August 1, 2024. *

Name of Institution *

City/State *

Program of Study *

Year of Completion *

Type of Degree/Completion *

• High School Diploma
• Some college
• Associates Degree
• Bachelor's Degree
• Master's Degree
• Other

Have you served and/or are your currently serving as an AmeriCorps or Peace Corps member? *YesNo

What program did you serve/are you serving?

Interest and Experience

Are you applying for a Full-Time or Quarter-Time member position? *

• I am interested in a Full Time position which runs for 11 months: September 15, 2024 through August 15, 2025
• I am interested in a Quarter Time position which runs for 3 months: May 19, 2025 through August 15, 2025

Please upload your resume. *

Click or drag files to this area to upload. You can upload up to 3 files.

Please share the contact information for two references below. Your reference should be a supervisor, coach, manager, etc. Reference should NOT be a friend, co-worker, or family member. Each reference will receive a phone call or email form. Please confirm all contact information below and ensure you have communicated with your references.

References

Reference 1 Name *

First

Last

Reference 1 Email *

Reference 1 Phone *

Reference 2 Name *

First

Last

Reference 2 Email *

Reference 2 Phone *

Signature

By signing below I certify that: All information is true and correct to the best of my knowledge; I understand that this application is for a full-time or quarter-time service position. If selected for a full-time position I am available to begin by September 16, 2024. If selected for a quarter-time position I am available to begin by May 15th, 2025. *

Clear Signature

Submit