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* 1. First and Last Name

* 2. For AmeriCorps, your service must be done at two service sites. Please list where you will be doing your service at and what you think you will be doing there.

* 3. Please select preference of hours

* 4. Why are you interested in AmeriCorps?

* 5. Why are you interested in volunteering at the service sites you listed? Example: I am interested in volunteering at the middle school, because....

* 6. How do you define service and how have you been actively involved?

* 7. Being an AmeriCorps member take a lot of time. Please list your time commitments this academic year:

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