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College Corps Application

CSUDH College Corps Fellowship 2022 – 2023 Student Application

Section I – College Corps Fellowship Overview

What We’re Looking For
• Passion for working in partnership with communities to make positive change;
• Flexibility to work in different areas and adapt to changing circumstances;
• Growth mindset and eagerness to try new projects;
• Interest in connecting with and learning from other students and partners across the state;
• Willingness to be an ambassador for the Fellowship on campus and beyond.
• All students are welcome to apply regardless of immigration status.
•Must be willing to complete 450 hours of service from Fall 2022 through Spring 2023.

What You’ll Do
Fellows will work with K-12 schools, food banks/pantries, or climate action organizations to build healthier and more equitable communities across California. Assignments will be based on the partner site and Fellows’ area of interest.

What You’ll Gain: Benefits
Up to $7,000 living stipend (throughout service term) + $3,000 Education Award upon completion of 450 service hours
Academic credit [3-unit course]
A real-world job experience and skills to add to your resume
Access to training, networking, and professional development opportunities
Connections with Fellows across the state via a virtual community platform and regional events
A sense of pride and accomplishment in working toward a common purpose alongside young leaders from across the state.

Where You’ll Serve
College Corps offers service positions in local nonprofits and municipal agencies within a reasonable distance from campus including LAUSD South, Compton Unified School District, Mudtown Farms and Firehouse Community Garden.

**If you have any questions while completing the application, please reach out to the Program Manager, Xavier Pineda via email at xpineda@csudh.edu**

1. Section II – Student Eligibility & Certification
Please review the following statements and certify their accuracy by checking each box, then initialing.

Screening
Interested applicants will complete a screening/eligibility section prior to advancing to the application sections. If Parts A – F aren’t met and/or signed, the applicant will not progress to the next stage of the application.

Part A. In order to participate, students must meet the following minimum eligibility criteria:

Have a high school diploma or its equivalent (I.e., GED) by the beginning of 2022-2023 AY
Be a full-time, enrolled undergraduate student attending participating campus
No minimum GPA, but students must currently be and remain in good academic standing
Ability to commit to the program for the full academic year
Ability to commit 450 hours of service in the community

Part A Certification. I have read the application instructions and I certify that I am eligible to serve as a College Corps Service Member for the 2022-2023 term. (initial below) *This question is required.

2.

Part B. In order to successfully complete the Fellowship, students must:

• Complete a National Service Criminal History Check & Live Scan, in order to be formally enrolled*
• Complete at least 450 Hours of Service by the end of Academic Year (AY) 2022 – 2023
• Participate fully in required orientation, training, and learning sessions for Fellows

Part B Certification. I certify that I am willing and able to meet these basic requirements in order to complete the College Corps Program. Furthermore, If I am selected as a finalist for a College Corps Fellowship, I give Dominguez Hills College Corps permission to conduct criminal history background checks in accordance with the Corporation for National and Community Service guidelines. (Initial Below)

*AB-540 students will not need to complete the National Service Criminal History Check & Live Scan unless their CSUDH College Corps partner requires it. *This question is required.

3. Part C. Students selected to join the Fellowship should meet at least (1) of the following criteria:

Qualifies for a Federal Pell Grant
Qualifies for a State Cal Grant or Middle Class Scholarship
Having difficulty meeting their educational costs
Is an AB-540 Eligible Dreamer

Part C Certification. I have reviewed the eligibility criteria and certify that I meet the requirements for at least one of the criteria listed above. (initial below) *This question is required.

4. Part D. AB-540 Eligible Applicants, ONLY.
California Dream Act Service Incentive Grant (for AB-540 / Cal Grant B Students)

• Must have a completed & submitted California Dream Act Application (CADAA) for 2022-2023 AY
• Must be enrolled at a Cal Grant Eligible School
• Must be an active recipient of a Cal Grant B Award for the 2022-2023 academic year
• Must have sufficient financial need
• Must submit a CA DSIG Application by September 1 to become eligible for Education Award

Part D Certification. I have reviewed the eligibility criteria for the CADAA and CA Dreamers Incentive Grant programs and I certify that I have initiated and/or completed every step of the enrollment process. (Initial below, if applicable)

5. Part E Certification. I give California Volunteers College Corps permission to use any Non-Identifiable information that I provide in this application for programming purposes, including promotional or communications purposes. *This question is required.

6. Part F Certification. I certify that the information provided in this application is accurate. I understand that the withholding of any information sought by this application, or the giving of false information on this application, will result in a refusal of selection, or, if discovered after I am selected, in disciplinary action up to and including termination. I hereby grant permission to any person, firm, or corporation to release to College Corps or its representatives any and all information regarding my past service, work, or employment and my background. I waive any and all claims I might have with respect to the providing of such information. *This question is required.

Signature of

7. Section III – Personal Information & Educational Background
*This question is required.

Legal Last Name
First Name
Middle Initial
Official ID (ie. Passport, Driver License, Green Card)
Preferred First Name (for nametag)
Date of Birth
Pronouns (optional)
Cell Phone Number
Alternative Cell Phone Number
School Email
Personal Email
Permanent Address
Campus Address

9. Provide your student ID number *This question is required. This question requires a valid number format.

10. Emergency Contact Information *This question is required.

Full Name
Relationship to Contact
Contact Phone Number

14. Do you speak additional languages? If yes, please indicate which language(s) other than English that you speak. *This question is required.

15. If you answered "Yes" to the question above, please indicate your level of proficiency.

20. How did you hear about College Corps? Select from the list below *This question is required.

22. If selected "other" on Question 18, please specify here. *This question is required.

24. What is your expected graduation date? *This question is required.

26. Please answer the following questions below:

Q1. Why do you want to be a College Corps Fellow, and why would you be a good fit for the program? *This question is required.

27. Q2. The #CaliforniansForAll College Corps Program is a first of its kind with a focus on bringing Fellows together from across the state to tackle local challenges related to climate action, food insecurity, and K-12 education. Every member will expand their knowledge, skills, and leadership capacity. What do you hope to learn from other Fellows to achieve personal success AND make tangible contributions to your community? *This question is required.

28. Q3. Is there any additional information that you would like to provide to give us a better picture of who you are and what makes you tick? *This question is required.

Section VI – Demographic Information (optional)

CSUDH College Corps respects diversity and will make Fellow selections without regard to age, sex, race, color, creed, religion, ethnicity, sexual orientation, gender identity, gender expression, national origin, disability, marital status, military or veteran status, or any other legally-recognized protected basis under federal, state, or local laws, regulations or ordinances.

We are requesting information about applicant's identity for the purposes of better understanding our applicant pool. This information is optional and will not be used as a determining factor in applicant selection. If you prefer, you may select "prefer not to answer."

31. What is your race or ethnic background? (select all that apply)

32. Please upload your current CV or resume *This question is required.

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