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* 1. First and Last Name

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* 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.

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* 3. Please select preference of hours

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* 4. Why are you interested in AmeriCorps?

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

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

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

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