Online Forms::Cherokee Nation Website

AmeriCorps Member Application

Please complete the following application.

This program is available to all, without regard to race, color, national origin, gender, age, religion, sexual orientation, disability, gender identity or expression, political affiliation, marital or parental status, genetic information and military service. All applicants subject background check.

Personal Profile

First Name

Last Name

Current Address

All information will be sent to this address, unless you notify us of a change.

Address 1

Address 2

City

State

Zip

Home Phone

Cell Phone

Are you moving within the next 6 months?

No
Yes

If yes, when:

Permanent Address

Please give the name and address of a person through whom you can always be reached.

First Name

Last Name

Relationship

Address 1

Address 2

City

State

Zip

Phone

Member Eligibility

AmeriCorps members must be a United states citizen, U.S. National or Lawful Permanent Resident. Are you a United States Citizen, national, or lawful permanent resident alien?

No
Yes

If you are a lawful permanent resident alien and you received your card before January 1987, what is your Registration number?

Registration Number

Expiration Date

Date of Birth

Social Security Number

Availability

Do you have a particular Reservation location (county) in which you are interested serving?

No
Yes

If yes, please provide the county within the Reservation In which you would prefer To serve:

Please indicate your date of availability to begin work.