Mercy Volunteer Corps > Preliminary Profile

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Mercy Volunteer Corps Preliminary Profile:

Fill out the information below to receive a Mercy Volunteer Corps application.

First Name:

Last Name

Age:

Gender:

E-mail:

Address (Current)

City:

State:

Zip:

Phone:

Address (Permanent)

City:

State:

Zip:

Phone:

Marital Status

Dependents?

College:

Degree/Major:

Year:

Types of Service which Interest You:

I am Interested in a placement that is:
In the U.S. International Both

Desired Service Year

Relevant Qualifications and Experiences:

If interested in a U.S. Commitment:
Will you be able to make a 1 year commitment?	Yes	No
Will you be able to begin the first week in August?	Yes	No
If interested in an International Commitment:
Will you be able to make a 2 year commitment?	Yes	No
Will you be able to begin in July?	Yes	No
Have you applied to other organizations	Yes	No
If so, which ones:

How did you 1st hear of Mercy Volunteer Corps?

MVC Volunteer	Pallotti Center Website
Sister of Mercy	CNVS Website
Mercy Associate	Internet Search
Mercy High School	Facebook
MVC Website	Response (CNVS)
MVC Brochure	Connections (Pallotti Center)
Campus Ministry	Church Bulletin
College Alternative Break Trip	Diocesan Publication
College Fair	Other Source
Idealist Website	Other:

By submitting this application, you certify that the above information provided on this page is true.