BBH AmeriCorps Legacy Corps Member Application


Big Bend Hospice AmeriCorps Legacy Corps Member Application

Thank you for your interest in volunteering with our organization and the Big Bend Hospice AmeriCorps Legacy Corps program. Due to the nature of our work, Volunteers are exposed to sensitive information and situations. This is why we invest time in screening, providing an extensive pre-service training, and offering ongoing training to all BBH Volunteers including the AmeriCorps Members. To be eligible to volunteer, you must be 18 years of age or older, commit to serving an average of 10-12 hours a week for the full term of service, have reliable transportation, and provide proof of full COVID-19 vaccination. The list of additional documents needed per AmeriCorps requirement is provided on our website http://bigbendhospice.org/americorps - please submit them via secure online folder (Dropbox, etc) or provide them in person. Please reach out to Taylor Casper at 850-671-6037 or tmcasper@bigbendhospice.org for any questions.
  • bbh logo
  • americorps logo
  • Contact Information

  • How Did You Hear About Us?

  • Demographics

  • Skills & Experience

  • Availability

  • Motivation

  • Emergency Contact: In the event of an emergency whom should we notify?

  • Reference One (cannot be a relative)

  • Reference Two (cannot be a relative)

  • AmeriCorps Criminal History Questionnaire

  • I AGREE


PRIVACY ACT NOTICE: The Privacy Act of 1974 (5 U.S.C § 552a) requires that the following notice be provided to you: The authority for collecting information from you in this application is contained in 42 U.S.C 12592 and 12615 of the National and Community Service Act of 1990 as amended, and 42 U.S.C 4953 of the Domestic Volunteer Service Act of 1973 as amended. You are advised that submission of the information is entirely voluntary, but the requested information is required in order for you to participate in AmeriCorps programs. The principal purpose for requesting this personal information is to process your application for acceptance into an AmeriCorps program, and for other general routine purposes associated with your participation in an AmeriCorps program. These routine purposes may include disclosure of the information to federal, state, or local agencies pursuant to lawfully authorized requests, to present and former employers, references provided by you in your application, and educational institutions, for the purpose of verifying the information provided by you in your application. In some programs, the information may also be provided to federal, state, and local law enforcement agencies to determine the existence of any prior criminal convictions. The information will not otherwise be disclosed to entities outside of AmeriCorps and the Corporation for National and Community Service without your prior written permission.