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AmeriCorps VISTA Hub at CHLI - Applicant Interest Survey

AmeriCorps Applicant Intake Survey

Thank you so much for your interest in serving with the AmeriCorps VISTA Hub at the PHI Center for Health Leadership & Impact!

We do not have any current openings to serve with our project. If you are interested in being notified when new opportunities become available, please complete this interest form. You will be contacted once we have available placements.

You can learn more about our program here. If you have additional questions, please reach out to vista@healthleadership.org.
1.What is your preferred name?
2.What is your email address?(Required.)
3.What are your preferred pronouns?
4.Which topical areas are of interest to you? Select all that apply.(Required.)
5.Have you previously served with AmeriCorps State & National, VISTA, NCCC, or Peace Corps? If yes, please describe.
6.Geographically, where are you interested in serving? Select all areas in which you would be open to being placed.

Members are required to serve in-person and must live within commuting distance of their host site.(Required.)
7.When are you available to begin service? Select all that apply.

Please note that service terms are 12 months long.
8.How did you hear about this survey?
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