Maine Service Fellows Application to Serve

Contact Data and Assertions

Question Title

* 1. Provide current information

First Name

Last Name

Postal street or box address

Town/City

State

Zip Code

Email

Daytime phone

Question Title

* 2. Are you at least 20 years old?

Yes

No

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* 3. Have you completed a college degree within the last 5 years? (bachelors, associate, graduate)

Yes

No

Year degree earned:

Question Title

* 4. Are you eligible to work in the United States because you are a citizen or have the appropriate visa?

Yes

No

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* 5. Maine Service Fellows are required to devote full-time effort to the assignment (1700 hrs over 43 weeks). Are you able to make this commitment?

Yes

No

Question Title

* 6. Will you commit to moving to the community requesting a Maine Service Fellow?

Yes

No