AmeriCorps Applicant Interest Form
Appalachia CARES Program Positions
Name
*
First Name
Last Name
Email address:
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Are you at least 17 years of age?
*
Yes
No
I will turn 17 in the next 60 days
Do you have a valid driver's license?
*
Yes
No
Do you have reliable, insured transportation for your daily commute as well as possible travel between multiple sites per day?
*
I have a vehicle with valid insurance
I have another source of reliable transportation
I'm not sure
Applicants age 18 or older at the time of enrollment will complete a FBI fingerprint background check. Do you agree to complete this if you are selected?
*
Yes
No
I have questions about this requirement
Do you have a resume you can upload?
*
Yes
No
Please describe your most recent school and work experience (last 3 years):
Resume upload:
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Choose a file
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of
Resume cover letter:
*
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of
Where are you applying to serve?
*
Newport, TN
Rutledge, TN
Other
How did you hear about this position?
*
Submit
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