Public Health AmeriCorps Flipbook Information Submission
Are you interested in being featured in a digital flipbook, highlighting your Public Health AmeriCorps experience? We'd love to hear from you!
Before you start...
This submission requires approval from your AmeriCorps supervisor. All information shared is voluntary, and by submitting you are consenting for information to be used by AmeriCorps and the Association of State and Territorial Health Officials (even if not featured in the digital flipbook). Please fill out the form below with any information you'd like to share about yourself and your experiences with Public Health AmeriCorps. A limited number of spots are available for feature in the flipbook--if you are chosen to be featured, you will be contacted. This digital flipbook will be housed on the PublicHealthCareers.org site, and may appear in other Public Health AmeriCorps materials.
Please type below how you would prefer your name to be listed in the flipbook.
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Please indicate whether you would like to list educational attainments or plans for future attainments by checking the boxes below:
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I would like to include my educational attainments and/or credentials
I would like to include my educational attainments and/or credentials that I am currently pursuing
I would like to include plans for pursuing an academic degree or professional credential in the near future
I would rather not list any educational attainments
If you would like your educational attainment(s) listed in the flipbook, please indicate what educational attainments or degrees you hold below:
If you are currently enrolled in an educational or credentialing program and would like it listed, please complete this sentence: “...is pursuing a degree or credential in (area of study).”
If you plan to pursue an academic degree or professional credential in the near future, please complete this sentence: “...plans to pursue a degree or professional credential in (area of study).”
If you are a current member: what is your current title, and what is the name of the organization where you are performing your Public Health AmeriCorps service? If alumni, please list your title(s) and the organization(s) where you performed your Public Health AmeriCorps service.
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If you are a current member: what state(s) have you performed your Public Health AmeriCorps service in?
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In 1-3 sentences, how has being a Public Health AmeriCorps member impacted you?
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In 1-3 sentences, what have you most enjoyed about working in public health?
0/250
In 1-3 sentences, what advice would you provide to someone considering a degree or career in the public health field?
0/250
If desired, please upload a headshot photo to be included in the flipbook. These should be high-quality, professional headshot-style photos.
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Please enter your email address.
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example@example.com
Please enter your phone number (optional). This will only be used to contact you if we have questions.
Please enter a valid phone number.
By checking this box, I verify that I have discussed this opportunity to appear in the Public Health AmeriCorps flipbook with my AmeriCorps supervisor and they have approved my participation.
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Yes, this has been approved by my AmeriCorps supervisor.
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