EmailMeForm
VHCB AmeriCorps Host Site Intent-To-Apply
Please complete this form by April 29th, 2022 with your intent to apply to host VHCB AmeriCorps Members in the 2022-2023 Program Year. The 2022-2023 program year begins in September 2022 and end in August 2023.
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 April 29th, 2022, 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.