Corps Member Application -OR- Conservation and Community Leadership Member Application
 
Please fill out this application form completely. As a conservation organization we would prefer that you submit the application online. To do this :


1.You may complete the entire application while online; however, due to the length of the application, we recommend you compose your answers prior to completing the application.

2.Press the submit button at the end of the application.

Note: You may download the application to your computer while you compose your responses offline. While viewing the application, choose File, then Save As in your browser to download a copy of the form. After completing the application offline, reconnect to the internet. To return to this SAME page use the following web address http:www.vycc.org/positions/aspforms/corp_member_appl.asp. Complete the ONLINE application and press the submit button to complete the process.

If you have questions, please call us at1-800-639-8922. Or e-mail us at:

First Name :
  
Last Name :
Social Security # :
   
Permanent Address
Temporary Address (if different)
     

Street
(inc. apt., box etc.) :

Street
(inc. apt., box etc.) :

County :

County :

City :
City :
State :
State :
Zip :
Zip :
Permanent Phone :
Phone :
Parent/Guardian Name:
E-mail :
Parent's Phone (home) :
 Gender :
Male Female
Parent's Phone (work) :
 Shirt Size :
XS S M L XL XXL
 
Are you a past Corps Member?
 Yes No
Did you apply last year?
 Yes No
Age on June 15 :

Birthday:

Month Day Year
Are you in school now?
 Yes No
Are you attending college next fall? Yes No
Name of current school :
Grade level completed by June 15th :

Where did you hear about the Corps?
   
Corps Recruiter Teacher School Guidance Office
Other web page Parent Past Corps Member
Newspaper VYCC Web Page Other
 
Each year the Department of Employment and Training asks the Corps to provide statistics on our applicants. This information is for statistical use only and is not required. Please make your choice :
African American Caucasian Asian American or Pacific Islander
Hispanic Native American Other


Please answer the following questions in the text areas provided :

In addition we strongly recommend mailing a Letter of Recommendation and/or providing References with contact information (email and/or phone numbers).

VYCC Corps Member Hiring
1949 East Main Street
Richmond, VT 05477
1.The VYCC relies on small groups of young adults to complete our work projects. What experiences have you had working with others? What would you contribute to your crew?
2. Why do you want to work for the VYCC? Please include at least three things you would like to learn from your VYCC experience in your response to this question.
3. What do you anticipate being your biggest challenge while working on a VYCC crew?
 
4. Our best Corps Members have a positive attitude and are dedicated to completing a full term of employment. Do you feel that you are able to commit to the VYCC for the specified crew time?
 
5. Tell us about your greatest accomplishment. Why are you proud of it?
Crew Preference :



When choosing your Crew Preferences:
Refer to the program dates on the Corps Member Positions page.
Make sure to include dates available.

Available Crew Types:
Community, Parks, Roving, and Wilderness Crews
(CCL applicants choose Parks)
1st Choice 2nd Choice
3rd Choice 4th Choice

Earliest date available : Month Day Year
Latest date available : Month Day Year

 
Required Confidential Information
The Vermont Youth Conservation Corps is supported with donations from local businesses and individuals, fees for work projects completed, and grants from foundations and governments. Please fill out this section to help us see which grants you might qualify for. This information does not affect your application status.
•Number of family members living with you :
•Annual Family Income :
•In the last six months has your family received any of the following?

Food Stamps

Yes No

Reach Up Benefits

 Yes No
•Are you a ward of the state or foster child? Yes No
•Are you on an Individual Education Plan (IEP or 504) at school? Yes No
 
If you answer yes to any of the following questions, please briefly explain in the box provided. (Positive responses will not necessarily bar an applicant from employment.)

1. Do you have any dietary limitations or food allergies?

Yes No
2. Have you ever been involved in the criminal justice system? Yes No

3. Do you have any physical limitations that will restrict your ability to preform manual labor?

 Yes No

4. Do you have dependants (are you a parent or pregnant)?

 Yes No
   
If necessary, please include numbered explanations below.  
 
   

I have read the VYCC Corps Member job description and understand that this job will require me to maintain a positive attitude, work hard and live in the outdoors, participate in daily educational activities (WoRD), and work as part of a team. If offered a job with the VYCC, I will follow all of the crew rules and refrain from the use of tobacco products, alcohol, and illegal drugs during my employment. I certify that all of the statements made in this application are true to the best of my knowledge.

By typing your name below, you verify all statements made in this application are true and that you agree with the certification and release.

Name :

   


Vermont Youth Conservation Corps (VYCC)
1949 East Main Street
Richmond, Vermont 05477
Phone number: 1.434.3969
Toll Free Number: 1.800.639.8922
Fax Number: 1.802.434.3985
Email: info@vycc.org