Maine Conservation Corps Member Application
Thank you for your interest in the Maine Conservation Corps! Please complete the following questions, as a first step to joining the corps. In order to complete the application, among other information, you will need contact information for two references. You will also need to email a resume to corps.conservation@maine.gov
Legal Name (as it appears on ID): *
Your answer
Preferred Name: *
Your answer
In collaboration with AmeriCorps, the Maine Conservation Corps (MCC) requires that a member: is a United States citizen or lawful permanent resident; at least 18 years of age; and possesses a High School Diploma or equivalency certificate. I attest, under perjury of law, that I am a United States citizen or lawful permanent resident, am at least 18 years old, and possess a high school diploma or equivalency certification. *
Indicate the position(s) you are applying for: *
Required
What is the earliest day you could join MCC? *
MM
/
DD
/
YYYY
What is the latest day you could stay? *
MM
/
DD
/
YYYY
Current Street/Mailing Address: *
Your answer
City, State: *
Your answer
Zip Code: *
Your answer
Permanent Address: *
Your answer
City, State: *
Your answer
Zip Code: *
Your answer
Phone number: *
Your answer
Email Address: *
Your answer
What level of First Aid training are you currently certified in? *
Have you ever served in a National Service Program (AmeriCorps, NCCC, VISTA)? *
If so, how many terms have you served? *
If so, did you successfully complete your last term? *
If you have a valid driver's license, list the state you are licensed in. *
Your answer
Do you have a clean driving record? *
All AmeriCorps members and staff must submit to a criminal history check. A false statement or failure to fully disclose criminal records may lead to ineligibility to work or serve with the program, including the release of current members. Have you been convicted of a crime? *
If you have been convicted of a crime, list the year(s) and crime(s) you were convicted of.
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service