Youth Connect AmeriCorps Member Interest Form

Youth Connect AmeriCorps Member Interest Form

*Required

Name*

E-Mail*

Phone*

Are you at least 18 years old?*

Select or enter value

*Please let us know in 2-5 sentences how Youth Connect AmeriCorps (YCA) could collaborate with you from the questions below.

Why are you interested in YCA?*

What do you hope to accomplish by joining Youth Connect AmeriCorps?*

How much time per week (in hours) can you commit to being an AmeriCorps member?*

How did you hear about Youth Connect AmeriCorps?*

What are your interests and hobbies?*

Please list 3 dates and times you are available to discuss becoming a YCA member.*

Please let us know if you have any questions, comments, or concerns about Youth Connect AmeriCorps. (Optional)

Send me a copy of my responses

Powered by