Summer Communities of Service Application

                                                                                                                                            

 Part I Application
Summer Communities of Service
{Alliance of Baptists/United Church of Christ}

May 28 - August 12, 2014

Questions?

Please contact Rev. Mary Schaller Blaufuss
Phone:  (216) 736-3214 or toll-free (866) 822-8224 ext. 3214
OR
Rev. Paula Dempsey, Minister for Partnership Relations of the Alliance of Baptists
Phone:  (866) 745-7609


Summer Communities of Service do not discriminate against applicants on the basis of religion, race, color, national origin, sex, age, sexual orientation, or disabilities.

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This on-line form is part one of the Summer Communities of Service application process.  At the end of the form, be sure to save or print part two of the application and three copies of the reference form.  Then click submit.  Part two of the application form and reference forms also will be available on the page that appears after you submit part one.  Your application will be considered complete after our office receives both parts one and two of the application and at least two of your three requested references.  A series of telephone interviews will follow.  If you have any questions, please contact the Executive for UCC Volunteer Ministries at blaufusm@ucc.org
   
 Alliance of Baptists/United Church of Christ
   
Title   
Last Name
First Name 
Address 
City
State
Zip Code
Country
Phone
Cell Phone
E-mail Address
Date of Birth (mm/dd/year)
   
EMERGENCY CONTACT (Person who can always reach you.)
Name 
Address
City 
State 
Zip Code 
Phone 
Cell Phone 
E-mail Address 
   
Are you available for these dates for Summer Communities of Service:
Dates of Service, including Orientation and De-briefing May 28 - August 12, 2014 Yes           No

 
Types of Skills and Experience YOU bring (Check all that apply) 
Languages Spoken or Written
Your Experience
Your Experience
Your Experience
 
Your Experience
 
Your Experience
Your Experience 
Your Experience
Your Experience 
Your Experience 
Case Management Your Experience 
Your Experience 
Your Experience 
Class & Certifications: 
   
Possible Service Settings
(Indicate interest by 1, 2, 3, 4, 5 with 1 as little interest and 5 as great interest.)
Immigration Ministries 
Youth
Elders 
Children 
Homeless Shelters
Food Programs
Worker's Rights
Community Organizing
Other Please explain:
   
Summer Communities Locations
Rank your interest by 1, 2, 3, 4, 5, 6, 7 with 1 as little interest and 6 as great interest:  
  • Wellspring UCC, Centreville, VA
  • Ellis Avenue Baptist Church, Chicago, IL
  • Metro Baptist Church, New York, NY
  • Hyaets, Charlotte, NC
 
Please note that different locations may be available at the time of placement.
   
How did you learn or hear about this program?

PART 2 SCOS Application 2014-2015 and SCOS Reference Forms

Download, complete and email to:  blaufusm@ucc.org or mail to UCC Volunteer Ministries, 700 Prospect Avenue, Cleveland, OH 44115.

Questions?  Please call 216.736.3214 or email blaufusm@ucc.org.

 
         

 
   
SECTION MENU
CONTACT INFO

Rev. Mary Schaller Blaufuss
Team Leader
Global Sharing Of Resources
Wider Church Ministries
700 Prospect Ave.
Cleveland,Ohio 44115
216-736-3214
blaufusm@ucc.org