AmeriCorps Inquiry Form

Thank you for your interest in AmeriCorps! This form helps us connect Arkansans of all ages with service opportunities that match their interests, location, and availability.

Please share a bit about yourself and what you’re looking for. Your information will be reviewed by the AmeriCorps State Commission, Engage Arkansas, and routed to the appropriate program director or regional partner who can follow up with next steps.

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Name *

First

Last

Email *

Date of Birth *

(Opportunities differ for some age groups)

Phone Number *

Why are you interested in serving? *— Select Choice —Help pay for higher education or trade schoolGain experience & develop my careerGrow my professional networkGive back to my communityTry something newSomething to do during a gap yearOther

Other, if applicable

What area of service most interests you? *— Select Choice —Assist people who need help finding safe, stable, affordable housingSupport land management and natural resources in parks and communitiesHelp people gain economic stabilityHelp students be successful in schoolSupport student development in a camp settingSupport youth with their mental healthHelp adults gain literacy and/or workforce skillsI’m not sure, but I’d like to learn more about the different optionsOther

Other, if applicable

When would you prefer to start? *

What county do you live in? *— Select Choice —Arkansas CountyAshley CountyBaxter CountyBenton CountyBoone CountyBradley CountyCalhoun CountyCarroll CountyChicot CountyClark CountyClay CountyCleburne CountyCleveland CountyColumbia CountyConway CountyCraighead CountyCrawford CountyCrittenden CountyCross CountyDallas CountyDesha CountyDrew CountyFaulkner CountyFranklin CountyFulton CountyGarland CountyGrant CountyGreene CountyHempstead CountyHot Spring CountyHoward CountyIndependence CountyIzard CountyJackson CountyJefferson CountyJohnson CountyLafayette CountyLawrence CountyLee CountyLincoln CountyLittle River CountyLogan CountyLonoke CountyMadison CountyMarion CountyMiller CountyMississippi CountyMonroe CountyMontgomery CountyNevada CountyNewton CountyOuachita CountyPerry CountyPhillips CountyPike CountyPoinsett CountyPolk CountyPope CountyPrairie CountyPulaski CountyRandolph CountySt. Francis CountySaline CountyScott CountySearcy CountySebastian CountySevier CountySharp CountyStone CountyUnion CountyVan Buren CountyWashington CountyWhite CountyWoodruff CountyYell County

For ages 17-55, where would you prefer to serve based on current AmeriCorps site locations? *— Select Choice —Arkansas CountyAshley CountyBaxter CountyBradley CountyCalhoun CountyChicot CountyCleveland CountyColumbia CountyCrawford CountyDallas CountyDesha CountyDrew CountyGarland CountyLincoln CountyPulaski CountySebastian CountyUnion CountyWashington CountyWhite CountyYell County

where Name would

For ages 55+, where would you prefer to serve based on current AmeriCorps site locations? (copy) *— Select Choice —Ashley CountyBaxter CountyBenton CountyBradley CountyCalhoun CountyChicot CountyClark CountyCleveland CountyColumbia CountyConway CountyCrawford CountyDallas CountyDesha CountyDrew CountyFaulkner CountyFranklin CountyGarland CountyGrant CountyHot Spring CountyHoward CountyIndependence CountyJohnson CountyLincoln CountyLittle River CountyLogan CountyMarion CountyMiller CountyMississippi CountyMontgomery CountyPike CountyPolk CountyPope CountyPulaski CountySaline CountySebastian CountySevier CountyUnion CountyWashington CountyWhite CountyWoodruff CountyYell County

How did you learn about us? *— Select Choice —Choice 15High School Career CoachCareer FairEventSocial MediaFriend or FamilyHandshakeIn the NewsOn a Job BoardTelevision CommercialOn-Campus EventVirtual EventWeb ResearchAmbassadorOther

Other, if applicable

Do you require any special accommodations? *— Select Choice —Choice 4YesNo

What else would you like to share?

Submit