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AmeriCorps - Public Health Program (2025-2026)
Oakland
,
California
,
United States
| Part-time
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Application Form
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Legal First Name *
Legal Last Name *
Preferred Name *
Email *
Phone *
City of Residence *
What is the highest level of education you have completed? *
--Select--
Some High School, No Diploma
High School Graduate, Diploma or Equivalent (GED)
Some College, No Degree
Associate Degree
Bachelor's Degree
Graduate Degree
Earliest Date Available *
Briefly describe why you are interested in servicing with AmeriCorps through Safe Passages? *
Resume *
How did you find out about us? *
my.americorps.gov
Social Media (Instagram, FB, etc.)
Handshake
Idealist
Indeed
LinkedIn
Localwise
Peace Corp RPCV Link
Service Year
Safe Passages Website
VolunteerMatch
Referral
Other
If you selected other, where did you hear about us?
Have you previously served with AmeriCorps? *
--Select--
Yes, and I successfully completed my service term.
Yes, but I did not complete my service term.
Yes, I am currently in an AmeriCorps program and will my complete my hours before the start date.
No, I have not served with AmeriCorps before.
I understand that if I am selected and enrolled as a Safe Passages AmeriCorps member that I must serve until the end of my service term and complete all required activities. *
--Select--
Yes, I understand this requirement.
No, I do not understand.
I understand that AmeriCorps members must be US Citizens or Lawful Permanent Residents. *
--Select--
Yes, I am a US citizen.
Yes, I am a Lawful Permanent Resident.
No, I do not qualify for any of the above.
Thanks for your time
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