AmeriCorps Alums: Knoxville Registration

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Thank you for your interest in AmeriCorps Alums: Knoxville!
This initiative is operated by CAC AmeriCorps (www.cacamericorps.org), a subgrantee of AmeriCorps located in Knoxville, TN, but is not exclusively for alums of CAC AmeriCorps.

AmeriCorps Alums: Knoxville is open to alums of ANY AmeriCorps program who currently reside in, or near, Knox and surrounding counties in East Tennesee as well as all CAC AmeriCorps Alums regardless of current residence.

There is no membership fee to participate in AmeriCorps Alums: Knoxville, though CAC AmeriCorps does accept donations to offset the cost of providing support and resources to help maintain the energy and sustainability of a regional AmeriCorps Alums community for alums of our program as well as all interested alums in our region. Any and all funds donated go to support programming and activities that facilitate the connectivity of alums to current members and eachother.

Privacy Notice
The information you provide in this form will only be used by CAC AmeriCorps staff and AmeriCorp Alums: Knoxville leadership for the purposes of supporting an AmeriCorps Alum community in East Tennessee. Your information will never be sold or shared with third-party entities for any reason.
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Name* This field is required.
First Name
Last Name
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If you are a CAC AmeriCorps Alumni, has your name changed since serving? If so, please put the name you went by during service below.Many people have gotten married and some have chosen new paths, so we want to make sure we line up the right alumni with the right names!
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Email* This field is required.
example@example.com
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Phone Number
Area Code
Phone Number
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Preferred Gender Pronouns* This field is required.Please identify how you prefer to be referred to.
She/Her/Hers
He/Him/His
They/Them/Theirs
I have another preference.
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Participation in AmeriCorps Alums: Knoxville requires that you have completed at least 1 full-time or part-time term of AmeriCorps. Terms ended early for compelling personal circumstances will also qualify. This does not include leaving a program early for school, employment, or dissatisfaction. In addition, you must reside in, or near, Knox or surrounding counties in the State of Tennessee unless you are an Alum of the CAC AmeriCorps program. By selecting YES, you affirm the above is a true characterization of your service with AmeriCorps and your current geographic circumstances.* This field is required.
YESNO
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Where are you currently located?* This field is required.AmeriCorps Alums: Knoxville serves Alums living in or near Knox and Surrounding Counties in East Tennessee and CAC AmeriCorps alums in any location.
City of Knoxville, TN / Knox County, TN
Surrounding Counties (Anderson, Blount, Grainger, Jefferson, Loudon, Roane, Sevier, Union)
Near Knox or Surrounding Counties
CAC AmeriCorps Alum, Not Located in The Above Locations
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How Many Terms of Each Type Did You Complete?* This field is required.You must select at least 1 year in 1 category.
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AmeriCorps State/National (300-1,700 hour terms)
AmeriCorps VISTA (12 month term)
AmeriCorps VISTA - Summer Associates (8-10 Week terms)
AmeriCorps*NCCC
AmeriCorps Seniors (Senior Corps: RSVP, Senior Companion, Foster Grandparent) **Select the Closest Number of Years
Other / I'm Not Sure
AmeriCorps State/National (300-1,700 hour terms)
AmeriCorps VISTA (12 month term)
AmeriCorps VISTA - Summer Associates (8-10 Week terms)
AmeriCorps*NCCC
AmeriCorps Seniors (Senior Corps: RSVP, Senior Companion, Foster Grandparent) **Select the Closest Number of Years
Other / I'm Not Sure
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What are you currently up to? Job, School, Family, Hobbies, Interests Etc.
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I am interested in:* This field is required.You are required to choose at least one of the following options to help CAC AmeriCorps understand in what way(s) you prefer to participate in the AmeriCorps Alums: Knoxville initiatives.
Participating in Informal Social Gatherings with Current Members and Alums
Providing Ongoing Mentorship to a Small Group of Current Members
Providing Subject-Specific Expertise and Insights to Current Members and Alums, As-Needed
Participating in National Days of Service with Current Members and Alums
Sharing my AmeriCorps Story as part of the Oral History Project or a Blog
Providing Leadership to AmeriCorps Alums: Knoxville Initiatives
Making a One Time, or Reoccurring, Donation to AmeriCorps Alums: Knoxville
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Do you have any great ideas for AmeriCorps Alums: Knoxville?
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How did you hear about AmeriCorps Alums: Knoxville?
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Liability & Permissions:

Risk & Liability

In consideration of my desire to serve as a participant in the AmeriCorps Alums: Knoxville program operated by the Knoxville-Knox County Community Action Committee (CAC), CAC AmeriCorps Program. I hereby assume all responsibility for any and all risk of property damage or bodily injury that I may sustain while participating in any voluntary activity related to the AmeriCorps Alums: Knoxville program including, but not limited to, formal and informal social gatherings, time spent as a mentor, participation in volunteer/service activities, or other activities related to my participation in chapter-related activities.

Further, I, for myself and my heirs, executors, administrators and assigns, hereby release, waive and discharge the Knoxville-Knox County Community Action Committee, CAC AmeriCorps, and its officers, directors, employees, agents and volunteers of and from any and all claims which I or my heirs, administrators and assigns ever may have against any of the above for, on account of, by reason of or arising in connection with AmeriCorps Alums: Knoxville activities or my participation therein, and hereby waive all such claims, demands and causes of action.

Permissions

By submitting this form I give permission to CAC AmeriCorps to add the provided email to the private Basecamp group which can be accessed via desktop, tablet, or phone. I understand this will be the primary means by which I will receive correspondences from the AmeriCorps Alums: Knoxville community, though I understand I may also be contacted directly via email or phone under some circumstances.
By submitting this form I give permission to CAC AmeriCorps & AmeriCorps Alums: Knoxville leadership to use my written testimony, photography, video, and other similar materials for the purposes of promoting AmeriCorps Alums: Knoxville and all associated initiatives.
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I have read and agree to the Liability & Permissions described.* This field is required.You must agree to these terms to participate in AmeriCorps Alums: Knoxville activities. Once you agree, click SUBMIT to complete your registration.
YESNO
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