Online Application

Please refer to the following guidelines before submitting your online application:

The online application must be completed in one session. The online form does not allow you to save an incomplete application for revision and submission at a later date. Applicants may choose to complete an application manually by selecting "Apply" under their specific program and submitting by email or postal mail.

All of the fields denoted with an asterisk (*) are required and must be completed in order for an application to be considered complete. Applications received with incomplete fields will need to be completed by the applicant before the application can move forward in the placement process.

References must be submitted separately by email or postal mail.

If you have any questions, please feel free to contact Border Servant Corps.

Name*
FirstLast
Date*
MM
DD
YYYY
Current Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Summer Address (if different from above)
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Permanent Address (if different from above)
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Phone*
Email*
Date of Birth*
MM
DD
YYYY
Emergency Contact*
Relationship*
Address*
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Phone*
Which programs are you interested in?*
- Yearlong Volunteer
- Fellowship through Service
- Lutheran Leadership
- Short-Term Internship
What is your choice?
Select a city.*
Date Available for Service?*
MM
DD
YYYY
What factors, commitment, or plans could affect your availability to serve, start date, period or length of service, or ability to complete your period of service?*
Please indicate positions or types of assignment in which you are interested and why after reviewing the current service opportunities (Border Servant Corps or Urban Servant Corps).*
What skills, expertise, or experience do you have that would make you suited for the position for which are applying? If not for a particular position, describe any job-related skills you possess trainings you have attended that may be useful in a full-time volunteer setting.*
Financial Consideration
Do you have financial considerations that might influence the type and/or length of assignment you could accept (that may require you to receive more money than a nominal food and personal stipend and transportation reimbursement)?*
If yes, please explain
Are you willing/able to be considered for self-funded volunteer positions?*
Physical Considerations
Service sites and community living includes components that may or require additional accommodations. Describe any concerns you may have related to lifting up to 50 lbs, performing household duties such as cleaning and cooking, sitting, standing, walking for a prolonged period of time, etc.*
Life Situations
Service in these settings may present challenges that may affect a person's ability to live and work in a particular setting. Describe any concerns you may have related to health, environment, climate, security, etc.*
Martial status and family*
Engagement Date
If you are married, does your spouse plan to accompany you?
If married, and your spouse plans to accompany you, your spouse needs to complete this same application form in full if he/she seeks a site placement. Is this being done?
If No, please explain
Do you have a valid driver’s license?*
If Yes, what type?
Do you use illegal drugs?*
All volunteers are required to have health insurance. Both Border Servant Corps and Urban Servant Corps offer paid group insurance. Will you participate?*
If No, why?
Education and Training
Education institutions include High School / GED, College or University, Graduate Study / Seminary, Further Graduate Study, Business / Trade / Technical, Other / Continuing Education.
List in chronological order:
School One: Name of School and Location
Date Attended of School
MM
DD
YYYY
Degree(s) Earned
School Two: Name of School and Location
Date Attended of School
MM
DD
YYYY
Degree(s) Earned
School Three: Name of School and Location
Date Attended of School
MM
DD
YYYY
Degree(s) Earned
School Four: Name of School and Location
Dates Attended of School
MM
DD
YYYY
Degree(s) Earned
List any additional training, seminars, or other unique growth experiences.*
List any avocational interests, recreational activities, hobbies, or musical talents.*
List your favorite reading materials this past year.*
What is your primary language?*
Do you know any language(s) other than your primary language?*
If you do speak other languages, please indicate which language(s) and note your skill level.
Language One:
Oral Skills (Listening/Speaking) for language one:
- Conversational
- Literate
- Fluent
Written Skills (Reading and Writing) for language one:
- Basic
- Literate
- Fluent
Years Studied for Language One?
Language Two:
Oral Skills (Listening/Speaking) for lanugage two:
- Conversational
- Literate
- Fluent
Written Skills (Reading anf Writing) for language two:
- Basic
- Literate
- Fluent
Years Studied for Language Two?
Key
Conversational/Basic: Able to carry on a conversation with a limited vocabulary. Literate: Able to understand a newscast, or read a newspaper. Fluent: Able to speak and write the language nearly as well as your primary language.
Employment History
Begin with current or most recent employer. Send additional pages/resume as necessary.
1) Position Title
Employer Name
FirstLast
Start Date
MM
DD
YYYY
End Date
MM
DD
YYYY
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Description of Responsibilities
Phone Number
May we contact your current or most recent employer at this time?
Reason for leaving (if applicable)
2) Position Title
Employer Name
FirstLast
Start Date Employment
MM
DD
YYYY
End Date Employment
MM
DD
YYYY
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Description of Responsibilities
Phone Number
May we contact your current or most recent emploryer at this time?
Reason for leaving (if applicable)
3) Position Title
Employer Name
FirstLast
Start Date Empoyment
MM
DD
YYYY
End Date Employment
MM
DD
YYYY
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Description of Responsibilities
Phone Number
May we contact your current or most recent employer at this time?
Reason for leaving (if applicable)
4) Position Title
Employer Name
FirstLast
Start Date Employment
MM
DD
YYYY
End Date Employment
MM
DD
YYYY
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Description of Responsibilities
Phone Number
May we contact your current or most recent employer at this time?
Reason for leaving (if applicable)
Volunteer Service
Describe your church, school, or community volunteer service (responsibilities and/or experiences)*
Narrative Section

Personal Motivation and Mission Alignment
Tell us a little bit about yourself. You may choose to use these guidelines in your responses: Qualities you have, qualities you don't. What are you good at? Not so good at? Situations you are comfortable in, situations you should stay away from.*
What has led you to consider a year of service?*
Describe your basic motivation for applying to Border Servant Corps and/or Urban Servant Corps.*
Reflect on our mission statement (Border Servant Corps or Urban Servant Corps). Share what it means to you and how it fits with your personal journey.*
Border Servant Corps seeks to provide an opportunity for volunteers to work for justice, serve their neighbor, and walk humbly with their God.

Urban Servant Corps seeks to fulfill Christ’s mission of love demonstrated through action by working for peace with justice, advocating for and with oppressed persons, and sharing our power and abundance with those most in need.
What is your personal mission statement? How do you see yourself achieving this?*
Write an inclusivity statement for Border Servant Corps and/or Urban Servant Corps.*
Community
Border Servant Corps and Urban Servant Corps work to make a difference in the wider community. Do you see yourself as a part of the global community? If so, how?
Describe any special group experiences you have had. Evaluate your ability to live and work with others.*
Describe any cross-cultural or significant transitional experiences you have had. What did you learn about yourself and how you respond to a new situation? What made the cross-cultural or transitional experience meaningful?*
Simplicity
Describe someone you know who lives a life of simplicity. If you do not have a personal example, describe the ideal.*
What measures do you intend to take that will accomplish your personal and communal fulfillment of the tenet of simplicity?*
Social Justice
What is your attitude toward violence and war?*
How do you engage your values in your daily life?*
Spirituality
How would you articulate your spirituality and how does this inform who you are?*
Why are you interested in serving with a faith-based volunteer organization?*
Intentional Community Living
What are the motivations that draw you to living in community?*
What are your expectations of a community living experience? What expectations do you have of others in the house? What do you expect for yourself as a result of this experience? How do you handle stress and/or criticism?*
What are your conflict resolution skills?*
Rate yourself on the following using the scale below:

1 – Excellent 2 – Above Average 3 - Average

4 – Below Average 5 – No Experience
Listening*
Care for Self*
Conflict Management*
Commitment to Community*
Group Consensus*
Creating Time for Friends*
Public Relations*
Public Speaking*
Creativity*
Facilitating Meetings*
Working with Small Groups*
Processing Group Interaction*
Understanding Peace & Justice Issues*
Leadership in a Community Setting*
General
Based on availability, Border Servant Corps and/or Urban Servant Corps may be able to provide an AmeriCorps Education Award for the upcoming service year. What would it mean to you to be an AmeriCorps member?*
Describe an instance in which you experienced conflict with another. What did you learn about yourself and your ability to handle conflict from this and other similar experiences?*
Scenario

Your job placement requires you to create a program to connect with people in the surrounding community in need of educational and other outreach services. These people are of a different culture than your own. You are initially given little information other than the basic parameters of the program. Otherwise, you are left on your own to go about accomplishing the task in your own way.
How would you respond in the following scenario?*
Have you applied for other volunteer programs?*
If Yes, what will be the deciding factor for your decision?
How did you hear about Border Servant Corps and/or Urban Servant Corps?*
What other information or considerations to your application do you wish to communicate?*
References
Provide four names of people who are not immediate relatives. Include pastors, professors, employers or professional colleagues who may be contacted directly for a reference. Submit three references from the following list; see BSC Applicant Reference.
1 — Name*
FirstLast
Occupation*
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Phone*
Relationship to you*
Email
2 — Name*
FirstLast
Occupation*
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Phone*
Relationship to you*
Email
3 — Name*
FirstLast
Occupation*
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Phone*
Relationship to you*
Email
4 — Name*
FirstLast
Occupation*
Address
Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry
Phone*
Relationship to you*
Email
Read Carefully and Reaspond As Appropriate
1. Misconduct Policy Certification:
[a] Has any civil, criminal, or ecclesiastical complaint ever been sustained or brought against you for misconduct?*
If Yes, please attach statement.
[b] Have you ever resigned or been terminated from a position for reasons related to sexual or other misconduct?*
If Yes, please attach statement.
2. Prior or Pending Offenses:
[a] Have you ever been convicted, or pleaded guilty to or pleaded "no contest" to any crime, other than minor traffic violations?*
If Yes, please attach statement.
[b] Are any charges (for any offense, including traffic violations), civil suits, or judgments outstanding against you?*
If Yes, please attach statement.
3. Have you ever been terminated from a job?*
If Yes, please attach statement.
4. In compliance with Federal laws, all offers of employment are subject to verification of each applicant's identity and employment authorization. I understand that it will be necessary for me to submit such documents as are required by law to verify my identification and employment authorization.
5. The organizations of Border Servant Corps and/or Urban Servant Corps have my permission to investigate,at their discretion, my employment history, personal references, and any other information contained in my application.

6. I understand that nothing contained in this form, or in the granting of an interview, is intended to create a contract between the organizations of Border Servant Corps and/or Urban Servant Corps and me, either for employment or for the providing of any benefits. No promises regarding employment have been made to me, and I understand that no such guarantee is binding upon these organizations unless made in writing.

7. All information in my application and in my interview, if any, is complete and accurate, to the best of my knowledge.

8. Misrepresentation of facts in my application will disqualify me from further consideration or, if I serve with the organizations of Border Servant Corps and/or Urban Servant Corps, may be sufficient cause for dismissal.

9. Any position offered to me is contingent upon the satisfactory completion of reference checks and any other checks, testing or examination that may be requested by the organizations of Border Servant Corps and/or Urban Servant Corps.

10. Candidates who serve with the organizations of Border Servant Corps and/or Urban Servant Corps will be expected to understand, respect, and support the mission and tenets of the chosen organization.

11. I recognize all jobs and community living requires a significant level of responsibility and a high level of commitment on the part of Border Servant Corps and/or Urban Servant Corps volunteers, and will commit to putting forth the effort to make my time of service successful.

12. I understand the expectations of Border Servant Corps and/or Urban Servant Corps and am ready to commit myself to these organizations knowing that I can expect support for my efforts in my work and community living.
By my signature below, I fully agree that my responses in 1 through 3 are true and accurate, and I understand and accept the statements and conditions listed in 4 through 12. Furthermore, I grant Border Servant Corps and/or Urban Servant Corps permission to share this application with prospective site agencies.
Type Applicant's Name as Signature*
FirstLast
Date*
MM
DD
YYYY
Use the following checklist to ensure your Application for Service is complete*
- Ensure all required fields are completed
- Resume, including job experience and applicable educational courses, is forthcoming, if applicable
- Reference information is forthcoming
- Spouse’s Application for Service is provided separately, if applicable
Date
Signature

Online Application

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