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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.