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.)
Overdose Prevention
COVID Impact
Health Equity
Youth Development
Other (please specify)
*
5.
Are you interested in serving in-person, remote, or either?
Please note, remote opportunities are incredibly rare and very competitive. It is not uncommon for us to receive 150+ applications for 1 opening.
(Required.)
In-person only
Remote only
In-person or Remote
Other (please specify)
*
6.
Geographically, where are you interested in serving? Select all areas in which you would be open to being placed.
Please note, the majority of members are required to serve in-person and must live within commuting distance of their host site. If you are interested in serving in a community that is different from where you currently live, modest relocation assistance is available.
(Required.)
San Luis Obispo
Santa Barbara
Marin
Monterey
Napa
Santa Cruz
Solano
El Dorado
Mendocino
Lakeport (Lake County)
Klamath (Humboldt County, Yurok Tribe)
South Alameda/Hayward
San Francisco
Sacramento
Chico (Butte-Glenn)
San Rafael (Marin)
El Cerrito (Contra Costa)
I am interested in 100% remote opportunities only (please note these are incredibly rare and very competitive)
7.
When are you available to begin service? Select all that apply.
Please note that service terms are 12 months long.
August 2024
October 2024
November 2024
December 2024
January 2025
February 2025
March 2025
April 2025
May 2025
June 2025
July 2025
August 2025
9 / 1
900%