Membership Application

To apply for membership in The Episcopal Service Corps please fill out the following application and provide evidence in narrative form how your program shares values of ESC internships.  If your program is forming, please articulate what your plans are.

Program Name:
Program Website:
Director:
Email:
Phone:
Address:
City:
State:
Zip:
Please explain your program’s affiliation with the Episcopal Church:
Please list any affiliations with: AmeriCorps
Catholic Network of Volunteer Services
Other denominations, please list

Other organizations, please list
How many interns does your program support?
Where/how are they housed?
Please list your staff members and the number of hours they work each week:
What is your annual budget?
What are your primary sources of income?
Please explain how your program shares the values of ESC listed on the membership page.

The membership dues of $600.00 will be invoiced to your program upon acceptance into ESC.

Thank you for your interest in The Episcopal Service Corps!