1.Share your contact information:

Name

Email Address

2.What AmeriCorps stream of service did you serve in?

AmeriCorps State and National

AmeriCorps NCCC

AmeriCorps Seniors

AmeriCorps VISTA

3.What organization did you serve with? What was your title?

4.Share why you served, what you experienced as an AmeriCorps member, a project that you accomplished during your service or anything else you would like to share with Serve Idaho about your AmeriCorps service.

5.Upload pictures. (Pictures of you serving and/or in your AmeriCorps service gear are especially appreciated.)

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6.I hereby grant to Serve Idaho and the Idaho Department of Labor and its representatives and assigns, the irrevocable and unrestricted right to use and publish my photograph, video image and recordings of my voice in its promotional materials and publicity efforts. I understand that the photographs, video images and recordings of my voice may be used in publications, print ads, direct-mail pieces, electronic media-video, cd, DVD, Internet social media platforms - or other forms of promotion. I hereby release and discharge Serve Idaho and the Idaho Department of Labor and those acting pursuant to its authority from any and all claims arising out of any use of such photographs, video images and recordings of my voice for the purpose described above.

Yes