Mile High Youth Corps Application
As an Equal Opportunity Employer, Mile High Youth Corps considers all applicants for employment without regard to race, color, religion, sex, marital status, sexual orientation, national origin, ancestry, age, handicap. Decisions to hire are based solely upon qualified applicant's ability to perform a job and upon dependability when hired. Mile High Youth Corps also provides "reasonable accommodations" to qualified persons with disabilities, in accordance with the Americans with Disabilities Act and applicable state and local laws. Any applicant requiring reasonable accomodation to the application and/or interview process should notify a representative of Mile High Youth Corps.
Application Date
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Day
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Year
Field Location
*
Denver
Colorado Springs
Pueblo
No Preference
Position Title
*
Please Select
AmeriCorps Leadership & Conservation
Energy Conservation
Water Conservation
Are you between 18 and 24 years old?
*
Yes
No
General Information
First Name
*
Last Name
*
Street Address
*
City
*
State
*
Zip Code
*
Email Address
Phone Number
*
Alternate Phone Number
Birth Date
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Age
*
Have you ever applied here before?
Yes
No
Have you ever worked here before?
Yes
No
If yes, when and for what crew?
How did you hear about Mile High Youth Corps?
*
Can you submit proof of your eligilbity to be lawfully employed in the United States?
Yes
No
Employment History
1. Company Name
Address
Phone Number
Job Title/Position
Dates of Employment (From - To)
Responsibilites/Duties
Reason for Leaving
2. Company Name
Address
Phone Number
Job Title/Position
Dates of Employment (From - To)
Responsibilities/Duties
Reason for Leaving
References
1. Name
Phone Number
Occupation
Relationship to applicant
2. Name
Phone Number
Occupation
Relationship to applicant
3. Name
Phone Number
Occupation
Relationship to applicant
General
Is there anything that would prevent you from performing the essential job functions in a reasonable and safe manner for the position for which you have applied? If yes, please explain.
Have you ever received an AmeriCorps Education Award or been enrolled in AmeriCorps program before? If so, where and when?
Do you currently reside in the 15 county region of Colorado served by Mile High Youth Corps? The 15 counties include: Adams, Arapahoe, Broomfield, Custer, Denver, Douglas, Elbert , El Paso, Fremont, Gilpin, Huerfano, Jefferson, Las Animas, Pueblo, & Teller.
*
Yes
No
How long have you lived in the 15 county region served by MHYC?
*
Please Select
Not applicable
0-1 year
1-4 years
5-10 years
10 years - entire life
Demographics (optional)
Gender
Please Select
Male
Female
Transgender
Other
Ethnicity
Please Select
Caucasian
Latino/Hispanic
African American
Asian
Native American
Mixed Race
Other
Education and Training
Have you earned your high school diploma or GED?
*
Yes
No
In process
High School Name
Diploma received & date
College/Vocational School Name
Diploma or degree received & date
Do you have any relevant certifications? (Such as First Aid/CPR, OSHA-10, S212)
Yes
No
Please list any certifications you have:
Short Answer Questions
1. Please tell us why you want to become a member of Mile High Youth Corps:
2. What is one hope or dream you have for your future?
3. Tell us about a personal quality, talent, accomplishment, contribution or experience that is important to you.
4. Please describe a time you helped out in your community or helped a member of your community.
5. What are some of your interests? Please list.
Read before signing - Enter your full name for each statement to serve as an e-signature.
1. I affirm that all of the information provided in this application is true and accurate. I understand that the falsification of any information may be cause for immediate termination from Mile High Youth Corps in the event that I am hired.
*
2. If I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to admit such proof within the required time will result in termination of my employment.
*
3. In processing my application for employment, I authorize Mile High Youth Corps and/or its agents to verify all answers, statements and information provided by me. I hereby release Mile High Youth Corps from any and all liability for any damage whatsoever arising from investigating and verifying the referenced information.
*
4. If I am employed, I am able to fully commit to serving the entire length of the term and maintain a minimum of 90% level of attendance.
*
Submit Form
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