2015-2016 Vet Corps Application Follow-up Survey

Thank you for showing your interest in joining the Vet Corps program. Please take a few minutes to complete this survey to help us get to know you better.
Name: 


A red asterisk (*) indicates required questions.

  1. You must be a college student and veteran or immediate family member of a veteran to participate in this program. Do you meet the qualifications? *
    Yes
    No - *You do not have to answer any more questions, but please scroll to the bottom and submit this survey.


  1. Which Wisconsin County do you reside in?*


  1. Are you a veteran?*
    Yes
    No


  1. Do you have a current military commitment?*
    Yes
    No


  1. Are you an immediate family member of a veteran?*
    Yes
    No


  1. What college do you attend?*


  1. What is your major?*


  1. Is there a particular city or community you would like to serve? If so, please list.


  1. Please list any types of placements or populations you are interested in serving.�Examples: elementary school children, environmental, disabilities, construction, etc.


  1. Quarter-time positions are a total of 450 hours of service and training hours. This can be served over a 3-9 month period. Approximately how many hours are you available to dedicate to the Vet Corps program each week?*


  1. When are you available to work? Take into consideration school schedule, other jobs, etc. *


  1. Members are required to display the AmeriCorps logo while serving and will receive an AmeriCorps pin and shirt. Please list the size you would like in the comments section.Choose one:
    T-shirt (unisex)
    Hooded Sweatshirt
    Men's polo shirt
    Women's polo shirt


  1. Are you currently employed on the UW Oshkosh campus?*If you are selected to serve in the Vet Corps program and you also have a job on campus, you must provide the program with a position description for your campus job to comply with AmeriCorps rules. *
    Yes
    No


  1. Have you ever been employed on the UW Oshkosh campus?*If so, you may already be in the student payroll system and may have less paperwork to complete if selected.*
    Yes
    No


  1. If you responded on your application that you have been convicted of a criminal offenses and/or are facing any pending charges or on probation/parole, you may provide an explanation of the circumstances here.*An employer may only refuse to hire an applicant on the basis of a conviction record only if the circumstances of the offense for which the applicant was convicted substantially relate to the circumstances of the particular job. This information may help us and/or a placement site determine if there is a substantial relationship between the crime and the position you are applying for.


  1. Is there anything else you would like us to know about you? Please include any special skills or experience you have


  1. Do you have a valid Driver's License?*
    Yes
    No


  1. Do you have your own vehicle?*
    Yes
    No





CCDET UWO