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Getting to Know You!
Before your service journey begins, please share a little about yourself. This information also helps inform UCA programming, so we appreciate your thoughtful responses.
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Name:
*
Your answer
Preferred Name:
*
Your answer
Personal Pronouns:
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Ex: she/her, they/them, etc.
Your answer
Birthday:
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MM
/
DD
/
YYYY
Email:
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Your answer
Phone:
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Your answer
UCA is leading a Virtual AmeriCorps Orientation starting on August 26th because of COVID-19. Do you have any barriers accessing a computer/smart phone/internet?
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If so, please let us know so we can strategize solutions with your AmeriCorps host site.
Your answer
Food Allergies & Dietary Restrictions:
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i.e. Vegan, Vegetarian, Pescatarian, Lactose free, Gluten-Free, Allergic to Walnuts, etc. If none, enter N/A. Please indicate all restrictions and allergies.
Your answer
Dietary Preference (+)
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If you have strict food allergies & dietary restrictions, please indicate any food favorites that may be helpful to our staff when we have events catered. We try to do everything we can to be inclusive with food at our events, and your suggestions are most helpful!
Your answer
Sweatshirt Size:
*
Your answer
T-Shirt Size:
*
Your answer
Let UCA staff know whether you would like to submit a Workplace Accommodations/Accessibility Request prior to beginning your service term:
*
If none, enter N/A
Your answer
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