Americorps Vista Interest Form
Thank you for your interest in an AmeriCorps Vista position with Girl Scouts of Kentucky's Wilderness Road. We look forward to speaking with you about this project and this position. Please complete the interest form and the project supervisor will contact you.
Name:
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First Name
Last Name
E-mail Address:
*
example@example.com
Phone Number:
*
Address:
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What role are you interested in? *Lead must have 1 year AmeriCorps experience
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Community Organizer
Lead Community Organizer
AmeriCorps Vista Members will be assigned to specific counties; Please indicate which assignment you would be interested in
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Please Select
Floyd/Knott Counties
Pike/Letcher Counties
Breathitt/Perry Counties
Leslie/Harlan Counties
Bell/Knox Counties
McCreary/Whitley Counties
Fayette County (Focus on Spanish speaking community)
Boone/Kenton Counties (Focus on Spanish speaking community)
This position requires driving within the community assignment, so you must have a reliable vehicle and a good driving record. You are compensated for the mileage; Can you meet this standard?
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Yes
No
Are you currently attending college?
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Yes
No
Job Skills & Training
What makes you a good fit for this position?
Please list any questions you have below:
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