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Application and Deadlines


We are currently accepting applications for the 2009-2010 service year that begins in August 2009. We will continue to accept applications until all positions are filled. The earlier you submit an application, the better your chances are for admission into the program. We will schedule group and individual interviews on a rolling basis as applications are received, beginning in late February 2009.

Please complete the application below, and a member of our staff will contact you soon to set up an interview.

Please note: All fields are required except for secondary phone.

Applicant Profile:

First name:
Last name:
Age:
Gender: Male      Female
Are you a U.S. citizen national, or lawful permanent resident alien? Yes       No
Have you previously served in AmeriCorps? Yes       No
If you have previously served in AmeriCorps, please list program name and date of service: Program Name:
Date of Service:
Did you complete your term of service? Yes       No
If you did not complete your term of service, please explain why:



Contact Profile:

Street Address (Include P.O. Box if applicable):
City:
State:
Zip Code:
Primary Phone: 10-digits, numbers only (i.e. 3372621360)
Secondary Phone:
(optional)
E-mail Address:
E-mail Confirmation:



Student Profile:

Are you currently enrolled at UL Lafayette?: Yes       No
If no, when are you anticipating being enrolled in UL Lafayette?
If yes, How many hours are you currently enrolled?
What is your major?
Anticipated Graduation Date:
Is your current GPA a 2.0 or better? (If you are new to UL Lafayette, refer to your high school or other college GPA): Yes       No
Are you eligible for college work study? Yes       No       Unsure



Service Profile:

What is your desired level of commitment? Half Time(900 hours/20-25 hours per week)
QuarterTime (450 hours/10-15 hours per week)
If no slots were available at your desired level, would you be open to the other? Yes       No