AmeriCorpsApp_Page3 – Lessie Bates Davis Neighborhood House

Personal Statement

Why do you want to participate in East St. Louis AmeriCorps?

What will you do, as a participant, to ensure the success of the East St. Louis AmeriCorps program?

Briefly explain how your professional, volunteer, educational, and life experiences would be helpful to you as an AmeriCorps member.

Have you ever been convicted of a felony?

If yes, please list the type of conviction, date, and disposition for each conviction.

Please list at least two professional and two personal references.

Name:

Years Known:

Contact Number:

Type:

If the above information is correct, type your name below and click on the button to the right to proceed to the next step of the application

Please type your full name below before proceeding to page 4

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