Headwaters Youth Conservation Corp

Corpsmember Application:
2010-2011

 

If you are interested in becoming an HYCC corpsmember, please take the time to fill out the on-line application below.  YOU MUST ALSO SUBMIT, VIA REGULAR U.S. POSTAL MAIL, 3 LETTERS OF RECOMMENDATION that are work, education or service related (if possible). Otherwise, personal references from friends or family will be accepted.

Name:    required

Age:       required

Date of Birth: required

Permanent Address (Street, City, Zip): required

Permanent Telephone Number:   required

College Address (if applicable):

College phone number:

Email: required

When is the best time to contact you by phone?:

When are you able to begin service? (provide a date that you are able to begin):

 

Which term are you applying to?  

(check ONLY one)

This field is required

   Summer term 2011           (application deadline: May 22, 2009 or until filled)
(June 8, 09 - Aug. 14,09: 450 hour positions & June 22 - Aug 14,09: 300 hour positions)                          

Half Year term  '2009-'2010     (application deadline: now through September 30 or until filled)
(Oct. 1st, 09 - Dec. 31st, 2010)
(this position can start later)

Year round term '2009-'2010   (application deadline: September. 30, 2009 or until filled)
(Oct. 1st, 09 - Dec. 31st, 2010)

Summer Educator 2009   (application deadline: May 15,2009 or until filled)
(June 22, 09 - Aug. 14,2009)


 

These next 3 questions are NOT required.  However, we would appreciate it if you took the time to answer them.  We use the information ONLY for demographic tracking purposes and your answers WILL NOT be used to determine your qualification into the program.  

 

What is the estimated annual income of your household?  (Please include everyone in your household whose income is used to support your family)  Income can be: wages from a job, unemployment insurance benefits, child support, Social Security retirement insurance, alimony, rental income, etc.    

For example:  You live at home with your Father, Mother and Sister.  Your Father and Mother are the only ones who have a job and support the family. Your sister is collecting Unemployment benefits. Add your parents annual incomes and and your sister's Unemployment benefits and check the appropriate number in the drop down box.                                       
                                                                                                                   

What is the number of people living in your household? (Please include anyone who lives in your house on a regular basis.       

For example:  in the above example where you were living with your Father, Mother and Sister, the number of people living in your household would be 4 (Father, Mother, Sister and you)              
                                                                                                                              
                                                                                                                   

What is your current level of schooling? (Choose the answer that best describes you)
CHECK ONE ONLY                      

                                                                                                                  

 
 

Please completely answer the following questions:

Why are you interested in serving in the Headwaters Youth Conservation Corps?  (required)

(If you are applying for the Summer Environmental Educator position, please check this box   )

What are your career goals and plans? (required)

What is your current level of schooling & what are your educational plans?  (required)

Please list your work and/or volunteer experience.  (required)

Please tell us how you heard about HYCC  - Choose only one  (required)

 

Have you ever served in an AmeriCorps Program?  If so, please describe in detail.

This page last updated: 07/28/2010

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