SNAP Member Application - Sierra Nevada AmeriCorps Partnership

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					                     2012 Sierra Nevada AmeriCorps Partnership Member Application




                                     Sierra Nevada AmeriCorps Partnership
                                            2012 Member Application

Directions: Please complete and submit the following electronic application along with a resume and cover
letter summarizing your interest in the SNAP program via email to snap@sierranevadaalliance.org no later
than 5pm, Monday, October 17th, 2011. If you have any questions please contact Allison Peeler, SNAP
Regional Coordinator, at Allison@sierranevadaalliance.org.


                                  I. Basic SNAP Applicant Information:




                                                                         Criminal History: Prior to starting
Name: Click here to enter text.
                                                                         the SNAP program, all SNAP
Address: Click here to enter text.                                       members must pass a criminal
                                                                         history check that allows them to
City: Click here to enter text.                                          serve as an AmeriCorps member,
                                                                         including National Sex Offenders
State & Zip Code: Click here to enter text.
                                                                         Registry, California Department of
Primary Phone Number: Click here to enter text.                          Justice, and an FBI level criminal
                                                                         history check for felonies. Are you
Alternate Phone Number (optional): Click here to enter text.
                                                                         willing to submit to a criminal
Email Address: Click here to enter text.                                 history background check? Choose
                                                                         an item.
How did you hear about the SNAP program? Click here to enter
text.

Eligibility Requirements:

Please indicate if you meet the following eligibility requirements:

Choose an item.      Applicant is a U.S. Citizen, U.S. National, or lawful permanent resident alien of the U.S.

Choose an item.      Applicant has a high school diploma or GED.

Choose an item.      Applicant is 18 years or older.

Documentation for all three eligibility criteria will be required once you are accepted as a Sierra Nevada
AmeriCorps Partnership Member.



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                   2012 Sierra Nevada AmeriCorps Partnership Member Application

Previous AmeriCorps Service Terms: Individuals may serve up to four terms of AmeriCorps State/National,
However, members are only eligible to receive two full-term AC Education Awards. Please mark an “X” for
only one of the following:

 Choose an item.      I have not served any previous terms of AmeriCorps and am eligible for SNAP.

 Choose an item.      I have served up to three terms previously as an AmeriCorps Member in a
                      State/National AmeriCorps program and am eligible for SNAP.




                                            II. Applicant Motivation


Please respond to the following questions:

   1. What professional/career development and/or skills training are you looking to gain from your year of
      service with the SNAP program?Click here to enter text.

   2. Please rank your top five positions and give a brief explanation of your ranking. You are not required
      to choose five (you may choose less). For 2012 position descriptions, please refer to the SNAP
      Application Packet, which can be found at: http://www.servingthesierra.org/apply.html.
          a.
          b.
          c.
          d.
          e.



                                      III. Relevant Experience and Skills


Please respond to the following questions:

   1. Please rank the following list of activities from your favorite (1) to your least favorite (5) to participate
      in and briefly describe what experience you have with each activity.

       Choose an item.        Recruiting and managing volunteers for a community event
              Experience:
       Choose an item.        Watershed monitoring and restoration (i.e. stream restoration, trail building,
                              water quality monitoring)
              Experience:

       Choose an item.        Conducting a public education presentation for a small group
              Experience:


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                   2012 Sierra Nevada AmeriCorps Partnership Member Application

       Choose an item.        Writing a newsletter article or creating outreach materials
              Experience:

       Choose an item.     Asking a business to donate food for an event
               Experience:

   2. Please list relevant computer programs you are comfortable using (i.e. Word, Pagemaker, and
      Excel)? Click here to enter text.

   3. Please describe a project that you completed in which you worked independently or with minimal
      supervision. How did you organize your time and work load to ensure a timely completion? Click here
      to enter text.

   4. With the positions you are most interested in, what percent of time would you be willing to spend
      working in an office setting?



                                      IV. Programmatic Requirements


Please answer all of the following questions.

   1. Are you willing to commit to a year of service? (Jan. 2012 through Dec. 2012) Choose an item.

   2. Are you willing to relocate anywhere in the Sierra? Choose an item. If not – what are your geographic
      preferences or limitations?

   3. Do you have a preference for a small rural town or a larger town/city? Click here to enter text.

   4. SNAP members receive a monthly living allowance of $1,254.54. Would you be comfortable making
      this budget work for your lifestyle during your year of service? Choose an item.

   5. Members are required to work an average of 40 hours a week to ensure they meet the 1,700 member
      service hour requirement. Are you capable of committing to this? Choose an item.

   6. We require members camp for most of our trainings – would you be comfortable with this
      arrangement during trainings? Choose an item.


I certify that all information contained in this application is accurate to the best of my knowledge.

    Click here to enter text.
_________________________________________
Name (First, Middle, Last)

     Click here to enter text.
____________________________
Date


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                   2012 Sierra Nevada AmeriCorps Partnership Member Application



                                              V. Member References


Please list up to three references the SNAP program may contact for a professional, academic, or personal
reference.

   1. Name: Click here to enter text.
      Title: Click here to enter text.
      Address: Click here to enter text. City: Click here to enter text. State: Click here to enter text. Zip: Click
      here to enter text.
      Phone number: Click here to enter text. Alternate Phone Number (optional): Click here to enter text.
      Email: Click here to enter text.
      Relationship to applicant: Click here to enter text.

   2. Name: Click here to enter text.
      Title: Click here to enter text.
      Address: Click here to enter text. City: Click here to enter text. State: Click here to enter text. Zip: Click
      here to enter text.
      Phone number: Click here to enter text. Alternate Phone Number (optional): Click here to enter text.
      Email: Click here to enter text.
      Relationship to applicant: Click here to enter text.

   3. Name: Click here to enter text.
      Title: Click here to enter text.
      Address: Click here to enter text. City: Click here to enter text. State: Click here to enter text. Zip: Click
      here to enter text.
      Phone number: Click here to enter text. Alternate Phone Number (optional): Click here to enter text.
      Email: Click here to enter text.
      Relationship to applicant: Click here to enter text.




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