Young Adult Service Communities (YASC) Application

Part I Application

Submit this on-line form to begin the YASC application.  Download Part II application and reference forms here.  
Application is complete when part 1, part II and 3 completed reference forms are received by UCC Volunteer Ministries office, or 700 Prospect Avenue, Cleveland OH 44115

Placement process begins as completed applications are received.  
Early decision deadline December 15, 2013.  
All completed applications due before February 15, 2014.

Additional placements will be made on a rolling basis until all positions are filled.




Please contact Rev. Mary Schaller Blaufuss, Executive for Volunteer Ministries700 Prospect Ave. E, Cleveland, OH  44115-1100

Phone:  (216) 736 3214 or toll-free (866) 822-8224 ext. 3214
Fax: (216) 736-2294 *  Email: 
UCC Young Adult Service Communities welcomes applicants of any religion, race, color, national origin, sex, sexual orientation, and abilities.


  YASC September 2014 - August 2015
  • Intentional Community Living
  • Hands-On Justice Advocacy/Service Opportunities
  • Congregational Service
  • Faith Conversations

At the end of this on-line form, download part II of the application and reference forms.  Distribute forms for three people to complete and return to the UCC Volunteer Ministries Office.  A reminder with part II and reference forms attached will also be e-mailed to you.   If you do not have access to e-mail, please contact the UCC Volunteer Ministries Office for a printed copy of this application at 216-736-3216.

Application will be considered complete when parts I, II and reference forms have been returned to:  UCC Volunteer Ministries Office, 700 Prospect Avenue E., Cleveland, OH 44115 or completed, scanned and e-mailed to 

    Zip Code
    Cell Phone
    Do you use Texting?


    E-mail Address
    Date of Birth (mm/dd/year)
    City of Birth
    EMERGENCY CONTACT (Person who can always reach you)
    Zip Code 
    Cell Phone
    Your Availability for  a Placement with a Young Adult Service Community

     September 2014 - August 2015 Young Adult Service Communities
    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: 
    Your Experience: 
    Other Skills ~ Please list:
    UCC Young Adult Service Communities in Network
     Locations in Order of Preference:  

    Granite City, IL (Near St. Louis) - September 2014 - August 2015
    Host Churches: St. Peter's United Church of Christ


    Seattle, WA - September 2014 - August 2015
    Host Churches:  Keystone Congregational UCC/All Pilgrims Christian/Plymouth UCC
    Justice Advocacy Agencies and intensive justice leadership training.  The Church Council of Greater Seattle; Children's Alliance,  Faith Action Network; Washington Low Income Housing Alliance: the Seattle/King County Coalition on Homelessness (SKCCH)  

    Philadelphia, PA - September 2014 - August 2015
    Host Church:  Old First Reformed UCC

    (Faith-based Community Organizing)  

     Broad Street Ministry, Old First Wellspring Program; Bethesda Project;


    Westford, MA September 2014 - August 2015
    Host Church: First Parish Church United of Westford

    Habitat for Humanity, New England Forestry Foundation, Minute Man ARC; The Wish Project


    *Westmoreland Congregational UCC, Bethesda, MD September 2014 - August 2015
    "Westmoreland Volunteer Corps" Setting:  Washington, DC - Case Workers fields of health care, homeless populations, social services.     

    ** WVC has a separate application procedure.  Please visit 

    No Preference
    How did you learn or hear about this program?
    PART 2 YASC Application 2014 - 2015 and YASC Reference forms.  
    Download, complete and mail to: or mail to:  UCC Volunteer Ministries, 700 Prospect Avenue, Cleveland, OH 44115.    
    Questions?  Please call 216.736.3214 or email   

    Rev. Mary Schaller Blaufuss
    Team Leader, Global Sharing of Resources
    Global Sharing Of Resources
    Wider Church Ministries
    700 Prospect Ave.
    Cleveland,Ohio 44115