Idaho HealthCorps AmeriCorps Member Application
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Name *
Email *
Phone Number *
What state do you live in at this time? *
What program or site are you applying for? *
For example: if you are an ISU member, are you with PT, OT, Dental Hygiene, Nursing, etc? If you are not an ISU member, which non-profit are you applying for? (Astegos, Idaho Food Bank, Genesis, CATCH, etc)
Select which skills apply to you *
What is your shirt size? *
Why do you want to join AmeriCorps? *
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