2026-27 ASC Board Application Survey

1.Candidate Name

2.Title

3.Organization

4.Contact Information

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

5.State Service Commission

6.Years Affiliated with State Service Commission

7.Candidate Type (choose one)

8.Commissioner Leadership Positions (Commissioners Only)

9.Are you an AmeriCorps Alum?

Yes

No

10.ASC Committee Interest

11.Candidate Reference (reference should be a state commission staff member or commissioner)

Name

Title

Organization

E-mail address

Phone number

12.Describe the length and depth of your affiliation with your state service commission. For staff members: length of employment, positions held, and other relevant professional experience. For commissioners: length of appointment, leadership positions held, and other relevant professional experience. If applying as an at-large Board member, please describe your experience interfacing with state service commissions and relevant professional experience.

13.Why are you interested in serving as a member of the ASC Board of Directors?

14.What unique skills or abilities would your membership bring to the ASC Board of Directors, including relevant experience in communications, finance/administration, grants management, legal, public policy, and/or resource development?

15.ASC actively strives to embody inclusive leadership behaviors and traits in all personal and professional interactions. What background, experience, and perspective could you bring to our goal of inclusive leadership?

Note for Youth Commissioner Candidates — Candidates for the Youth Commissioner position must have a letter of reference from the executive director of their respective commission. This letter must include a commitment from the executive director to cost-share travel expenses for the Youth Commissioner to participate in ASC Board activities.

The following demographic questions are optional and assist ASC in maintaining our profile and transparency seal on Candid/Guidestar.

18.Gender

Prefer not to answer

Male

Female

Prefer to self-describe:

19.Sexual Orientation

Prefer not to answer

Heterosexual

Gay, Lesbian or Bisexual

Prefer to self-describe:

20.Disability

Prefer not to answer

Have a disability

Do not have a disability

Prefer to self-describe:

21.Resume (optional)

No file chosen

Thank you for your interest in serving on the ASC Board of Directors!