What position(s) are you interested in?
 AmeriCorps Facilitator (7-10th grades) AmeriCorps Logistics and Coordination Team Member (7-10th grade) AmeriCorps Facilitator (11-12th grade) AmeriCorps Resident Advisor (11-12th grade) AmeriCorps Logistics and Coordination Team Member (11-12th grade) BRIDGES Logistics and Coordination Team Member (11 grade ONLY)












Education Level:






Are you fluent in a language other than English?


How did you hear about this opportunity? Check all that apply
 website teacher/professor flyer event friend other

How much experience do you have working with adolescent youth?

Did you participate in any BRIDGES Program in middle or high school?

Have you previously volunteered or worked for BRIDGES?


In the past year, have you gained valuable work or volunteer experience that has prepared you for this AmeriCorps opportunity? If so, please explain.

References
Reference One - List Name Address Occupation Phone and Relationship to you:

Reference Two - List Name Address Occupation Phone and Relationship to you:

Reference Three - List Name Address Occupation Phone and Relationship to you:

Equal Opportunity Employment Questionnaire: We ask you to complete the optional self-identification fields below used for compliance with government regulations government record-keeping and grants. Submission of this information is voluntary and confidential; refusal to provide it will not subject you to any adverse treatment.

Gender, I most identify as:

Race/Ethnicity, I most identify as:

Agreement: By typing your initials, you have read and agree to the BRIDGES AmeriCorps Application Agreement written below and certify that the information in this application is accurate to the extent of your knowledge.

Please attach your cover letter.

Please attach your resume.

AmeriCorps Member Agreement
I hereby affirm that the information provided on this application is true and complete to the best of my knowledge.  I also agree that falsified information or significant omissions may disqualify me from further consideration for BRIDGES AmeriCorps positions and may be considered justification for dismissal if discovered at a later date. I understand that any position offer will be contingent upon funding and upon my consenting to and the results of a background check and drug screen.

All qualified applicants will receive consideration without regard to race, color, national origin, disability age, sex, political affiliation or religion. Under Federal law, any program that receives federal funds is required to comply with the requirements of the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act. In compliance with the Federal law, all AmeriCorps programs prohibit any form of discrimination against persons with disabilities in recruitment, as well as in service. No qualified individual with a disability shall, by reason of disability, be excluded from participation in or be denied the benefits of the program, services, or activities of the program, or be subjected to discrimination by the program. Nor shall the program exclude or otherwise deny equal services, programs or activities to an individual because of the known disability.