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Host Site Interest Form
Are you passionate about making a positive impact in your community? Consider becoming a host site for RIVA AmeriCorps! 

Complete our Host Site Interest Form to express your interest in hosting dedicated AmeriCorps members who are committed to serving and addressing critical community needs. For inquiries or assistance, please contact Nafissatou Lamidi nafi@rivaiowa.org. 

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Email *
Organization Name *
Contact for application (name and phone number) *
Please describe your program. If a returning host site, are there any changes to your program? *
How do you think AmeriCorps members would address the needs of the community? *
How many AmeriCorps members are you seeking?
Example: 2 Full-time, 1 Half-time, 2 Quarter-time, 1 Minimum-time
 *
Any questions for us?
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