1.	First Name*

2.	Last Name*

3.	Are you a U.S. citizen?* AmeriCorps members must be U.S. citizens and be able to provide documentation to that effect.
	YesNo

4.	Date of Birth*
	mm/dd/yyyy

5.	Sex*
	-- Please Select --MaleFemale

6.	Current Address*
	Address Line 1   Address Line 2   Address Line 3

7.	Permanent Address If same as current address, please leave blank.
	Address Line 1   Address Line 2   Address Line 3

8.	Phone Number*
	Home   Work   Cell

9.	Email Address*

10.	Work hours preference*
	Full-time    Half-time    Part-time    Other, please specify

11.	Please indicate where you would like to or be willling to serve, and, generally, the extent to which you would be willing and able to travel. *

12.	Shirt Size For AmeriCorps sweatshirt
	Small    Medium    Large    XLarge    XXLarge    XXXLarge

13.	Please check your ethnic background if you feel comfortable doing so.
	American Indian or Alaska Native    Black or African-American    Native Hawaiian or other Pacific Islander    White    Asian    Hispanic    Other, please specify

14.	Educational background
	Less than high school    GED    High School    Some College    College Graduate    Graduate/Professional Degree    Other, please specify

15.	How did you hear about Montana Making Sense?
	Newspaper    Past/current member    AmeriCorps website    Poster    University Career Services    Other, please specify

16.	Do you authorize MM$ staff to conduct a criminal background check on you and to share the results with potential host sites? * A criminal background check and a National Sex Offender Public Registry check are required for all Montana Making $ense applicants – appearance on the NSOPR is grounds for automatic disqualification.
	-- Please Select --Yes No

17.	Please write a cover letter briefly discussing your community service experience and ethic, your suitability to (learn to) provide financial education training to low-income and at-risk populations, and your adeptness at creative problem solving. *

18.	I certify that all statements made in this application are true, correct, and complete to the best of my knowledge, and are made in good faith.* I understand that misinformation or omission of information could result in disqualification and/or termination. I understand that the results of the criminal background check and NSOFR check may affect my eligibility to participate in MM$. I understand that my selection for participation in MM$ will require documentation of citizenship and identity.
	-- Please Select --Yes No

19.	Please copy your resume and paste it in this box.*