Texas Family Literacy AmeriCorps 2021-2022 Service Year Application

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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

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

If other, please describe:

Why do you want to join the Texas Family Literacy AmeriCorps program?

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/Workforce Development Job Coach: working one on one with students/clients/individuals on skills to gain and keep a job
Children and Families (PALS): family literacy programs for parents and children (under 5), bilingual required, only available 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)

The Literacy Coalition of Central Texas collects data about applicant referral sources, gender, and ethnicity to enhance our diversity and inclusion efforts. The information requested is being collected to report to local, federal, state, and equal employment opportunity agencies. It will not be considered as part of the application for national service. The Literacy Coalition of Central Texas is part of AmeriCorps Central Texas, a collective of non-profit agencies building opportunities to create a better future for Central Texas through AmeriCorps service. Sharing your information helps our efforts to analyze data on best practices for recruitment and retention of AmeriCorps applicants.

I consent to have the information disclosed in this application shared with AmeriCorps Central Texas and funders of the Literacy Coalition of Central Texas for recruitment, retention, and reporting purposes.