Texas Family Literacy AmeriCorps 2020-2021 Service Year Application

Page 1

First Name

Middle Name

Last Name

Best Phone Number to Reach You

Email address

Current Address

Current Address line 2

City

State

ZIP

Permanent Address (if different from above)

Date of Birth

What is your highest level of education?

High School Diploma or equivalentPost High School DegreeSome CollegeSome Graduate School

Please select the highest received:

Please list school(s) attended and number of semesters completed:

Do you speak Spanish?

YesA little bitNo

If you selected "a little bit," please describe further.

Please list any languages other than English or Spanish in which you are fluent or conversational:

Have you served with an AmeriCorps, VISTA, Peace Corps, or faith-based service project before?

YesNo

Please tell us briefly about your previous service experience.

Criminal History

Criminal history explanation

Page 2

How did you hear about the Literacy Coalition's AmeriCorps program?

If other, please describe:

Why do you want to join AmeriCorps?

Please describe any experience you have that would make you a good candidate to serve with our project.

What do you expect to gain from your year of national service?

What are some of your future professional or personal goals?

In which area are you most interested in working? Select your top two choices English as a Second Language (ESL): English classes for immigrants, refugees, and other non-native English speakers
Adult Basic Education (ABE): basic reading, writing, and math skills, often in preparation for the GED or High School Equivalency test
Career Development Job Coach: working one on one with students on skills to get and keep a job*
Children and Families (PALS): family literacy programs for parents and children (under 5)*
Early Childhood: literacy intervention for children (ages 2-5) *These are only available to those interested in serving in Austin*

In which city would you like to serve?

I am over the age of 18.

YesNo

In an effort to provide national service opportunities to underrepresented audiences, we are partnering with other AmeriCorps programs in Austin to expand our outreach efforts. If you feel comfortable doing so, please select which of the following you most closely identify with:
(Definitions as provided by Promise54 Consulting Group)