EmailMe Form - VHCB AmeriCorps Host Site Intent-To-Apply 23-24

VHCB AmeriCorps Host Site Intent-To-Apply 23-24

Please complete this form by April 21, 2023 with your intent to apply to host VHCB AmeriCorps Members in the 2023-2024 Program Year. The 2023-2024 program year begins in September 2023 and ends in August 2024.

This Intent-To-Apply form will be used to gather information to help begin planning for the AmeriCorps recruitment season as early as possible. It is not binding in any way. If a full Host Site Application is submitted on or before May 12, 2023, this Intent-to-Apply Form is not required.

Organization Name *
Contact Person Name
First Last
Contact Person Email
Contact Person Phone
### - ### - ####
Please list the number of each type of AmeriCorps Positions you are interested in hosting at your organization:

Full-Time (11 months/1720 hours)

Half-Time (6 months/915 hours)

Quarter-Time (3 months/455 hours)

List the NUMBER of each type of position you intend to request
Please list a position title or a brief one-sentence description of the position for each position requested above.

Full-Time (11 months/1720 hours)
Half-Time (6 months/915 hours)
Quarter-Time (3 months/455 hours)