Summer VISTA Member Interest

The Arc Jacksonville, Inc. and VISTA SUMMER VISTA ASSOCIATES

This is an opportunity to join National Service through the VISTA Summer Youth program. The Arc Jacksonville project is enrolling mentors to work with young individuals (18 – 26) with intellectual or developmental disabilities (IDD) who are spending 4 weeks in apartments, with roommates, learning the basic skills needed to increase their independence and ability to live away from their family home. You will be working with the individuals with IDD in helping to shop for groceries, meal preparation, planning social events, taking public transportation, getting along with roommates, good grooming, budgeting, household cleaning, etc. The program is a total of 9 weeks and will require working varying hours including evenings and weekends. This is a full time position of 40 hours per week. National Service provides a stipend of $2,125 total for the 9 weeks of service. This stipend will be paid out bi-weekly during service. After successful completion of the full 9 weeks of service there will be a Segal Education award of $1,289 to use for post-secondary education or qualified student loans. If you do not plan to go further in trade school or college, you may opt for a set cash award of $311.22.

If this is of interest to you and you CAN COMMIT for the time period of June 3 through Aug. 4th (63 days), then please sign this form and forward it on to Charlotte Temple via text to 904-465-2099 or email ctemple@arcjacksonville.org

Question Title

* 1. Please complete the following:

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Cell Phone Number

Question Title

* 2. Age:

Question Title

* 3. Date of Birth:

Date / Time

Date

Question Title

* 4. If in school, please give school name:

Question Title

* 5. Graduation Year:

Question Title

* 6. If not in school, what are your plans for next year?

Question Title

* 7. Do you have a driver's license?

Yes, and I have a reliable car

Yes, but I do not have a car

Question Title

* 8. Current living situation:

Parental Home

Lives alone in apartment

Lives with frirends

Other (please specify)

Question Title

* 9. Do you have any past or current experience with people with intellectual and/or developmental disabilities?

Yes

If yes, please provide a brief description of your experiences.

Question Title

* 10. Have you ever been arrested?

Yes

If Yes, please describe the outcome/disposition of the case.

Question Title

* 11. What is your preferred method of contact?

Email (as listed)

Cell Phone (as listed)

Other (please specify)