Background pattern Solicite el servicio de verano ¿Está interesado en postularse para el programa de Servicio de Verano? Siga el proceso que se describe a continuación.NOTA: Las inscripciones para 2024 ya están disponibles y se cerrarán el 4 de marzo. Solicite el servicio de verano You must have JavaScript enabled to use this form. Submit this application along with the Church/Organizational proposal no later than March 11, 2024. Please review all of your information before submitting the form. Personal information Full name Email Are you 18 years or older as of June 1? - Select -YesNo Address This would be the address during your service term. City State - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Zip code Cell phone Permanent address Permanent address city Permanent address state - None -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code Have you ever served with MCC’s Summer Service Program? Yes No If yes, when? Leadership and Faith questions What does leadership mean to you? How have you practiced leadership or service in the communities you are a part of? What role does your faith play in your life? How does your faith inform your values as it relates to peace, nonviolence, and anti-racism? Why do you want to participate in MCC’s Summer Service Program? What do you expect to learn and gain through this experience? What are 2 or 3 goals you would like to accomplish by the end of the summer? The Summer Service Leadership Program requires a commitment to work the agreed upon hours per week over the course of 10 weeks each summer. What, if any, commitments do you which would interfere with your ability to fully participate in the program (second job, school commitments, family responsibilities, etc.)? Required leadership conference Leadership Conference is a national gathering of all participants and is required. The conference will be held in Akron, PA on June 3-7, 2024 (Please note that June 3 and 7 are travel days). It counts as 1 week of the 10 week program. Leadership Conference is offered to help prepare, motivate and encourage the Summer Service Participant to engage their leadership development and community building skillsets during their summer assignment. I plan to attend the required leadership conference in Akron, June 3 - 7. - Select -YesNo If no, please explain. I plan to attend the End of Term Meeting, which will take place in Dallas between August 2nd and August 5th. - Select -YesNo If no, please explain. I understand that I will be responsible for any costs associated with me missing my flights or me canceling a flight with late notice. - Select -YesNo If no, please explain. I request the support of an English interpreter to participate fully in Leadership Conference. - None -YesNo If yes, what language should the interpreter speak? Signature Leave this field blank Give a gift where needed most Every donation makes a difference. Donate $50 Donate $250 Donate $500 Custom donation amount
