Request edit access
ABLE Member Application
This program is available to all, without regard to race, color, national origin, disability, gender, political affiliation, or religion.
Sign in to Google to save your progress. Learn more
Full Legal Name (as it appears on your ID): *
Preferred Name
Permanent Address (ex. 99 AmeriCorps Ave, Apt 1A, Buffalo NY, 12345): *
Phone (XXX-XXX-XXXX): *
Email: *
AmeriCorps members are required to be a United States Citizen, U.S. National, or Lawful Permanent Resident to participate in the program. Are you a United States Citizen, National, or Lawful Permanent Resident? *
Have you previously applied with any program at The Service Collaborative? *
Have you previously served in AmeriCorps (YES or NO). If YES, please state when you served, and which program(s) you served with. *
Date available to begin service: *
MM
/
DD
/
YYYY
AmeriCorps members are required have a high school diploma or equivalent to participate in the program. Select the highest level of education that you have completed: *
What program(s) are you interested in? *
Required
Please describe any experience you have working with youth/children. If no experience, write NONE. *
Motivational Statement: *
We would like to understand more about you and your reasons for applying to AmeriCorps and the ABLE program. Please describe your motivation for serving your community by answering all 3 of the following questions: 1. Why are you interested in education and supporting students in Western New York? 2. What skills and qualities will you contribute to your term of service? 3. What do you hope to gain from your term of service with ABLE?
Resume: *
Please copy and paste your resume here or email a copy of your resume to recruitment@tscwny.org and type EMAILED in the box below.
Reference #1 (Personal Reference): *
Enter the NAME (First/Last), PHONE, AND EMAIL address of your reference. (A personal reference is a non-family member; they are someone who knows you and can vouch for your character and abilities).
Reference #2 (Professional Reference): *
Enter the NAME (First/Last), PHONE, AND EMAIL address of your reference. (A professional reference can be a former employer, supervisor, coworker, professor/teacher, clergy, volunteer manager; they are someone who knows your daily work habits, performance, work ethic and professional goals).
Criminal History *
The AmeriCorps application process requires a criminal history check to ensure that community members with whom we work are protected, particularly children, individuals with disabilities, and individuals over 60 years old. We will investigate for past sexual offenses and violent crimes, or crimes that would have a direct bearing on your service. This criminal history check requires The Service Collaborative of WNY to search: (1) the National Sex Offenders Registry, (2) New York State Office of Courts Administration (NYS OCA) and if applicable, from a qualified state-wide criminal history search provider for the State in which you reside permanently and/or at the time of this application process, and (3) FBI criminal history check. You will not be permitted to serve or work with children, individuals with disabilities, or individuals over 60 years of age, without supervision until the history check is complete and you are cleared. The review process is not lengthy. The existence of a criminal conviction or juvenile adjudication may or may not, depending on the circumstances, disqualify you from consideration. However, any intentional misrepresentation or omission will disqualify you. Do not include minor traffic violations.
Required
How did you learn about our program(s)? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms